Individual provider Active NPI

Chevonne Toney, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1023398146
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007882 Issued in IL
Practice address
3708 W Roosevelt Rd
Chicago, IL 60624-4228
Phone
(773) 616-6604
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 180.007882 IL
Mental Health Counselor 101YM0800X 180.007882 IL
Professional Counselor 101YP2500X 180.007882 IL Primary

Addresses

Primary practice location

3708 W Roosevelt Rd
Chicago, IL 60624-4228

Mailing address

6625 Cermak Rd
Berwyn, IL 60402-0632
Phone (773) 616-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110000288 IL Practitioner - Mental Health Counselor 6103277538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007882ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
CLT & Associates Therapy and Mediation Services, PLLC Counselor CurrentSince Apr 9, 2024 Accepting new patients
Erie Family Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients

Locations

6625 Cermak Rd
Unit 504
Berwyn, IL 60402

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1023398146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604020632",
            "telephone_number": "773-616-6604",
            "fax_number": "708-775-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244228",
            "telephone_number": "773-616-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONEY",
        "first_name": "CHEVONNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2024-04-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.007882",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007882",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.