Active NPI
Zaira Carvajal, MA, LPC, NCC
- Counselor
- Homer Glen, IL
National Provider Identifier
1023866456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178020126
- Practice address
- 14933 Founders Xing
Homer Glen, IL 60491-6712 - Phone
- (708) 737-7968
- NPI assigned
- May 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178020126 | IL | Primary |
Addresses
Primary practice location
14933 Founders Xing
Homer Glen, IL 60491-6712
Mailing address
7053 W Stuenkel Rd
Monee, IL 60449-9376
Phone (708) 288-2734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178020126 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Healing | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Homer Glen, IL
- NPI 1285036343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1023866456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7053 W STUENKEL RD",
"city": "MONEE",
"state": "IL",
"postal_code": "604499376",
"telephone_number": "708-288-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14933 FOUNDERS XING",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604916712",
"telephone_number": "708-737-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVAJAL",
"first_name": "ZAIRA",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178020126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.