Xitlali Campa
Individual provider Active NPI Professional Counselor · River Forest, IL
NPI 1043007602 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1043007602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.021806 (IL)
- Practice address
- 414 Clinton PL Ste 106
River Forest, IL 60305-2248 - Phone
- (708) 866-6766
- NPI assigned
- Apr 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garden Health Group LLC | Mental Health | Current |
Accepting new patients |
| Lake Behavioral Health Associates, LLC | Past |
Accepting new patients |
Locations
414 Clinton Pl
Ste 106
River Forest, IL 60305
Phone (708) 866-6766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.021806 | IL | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
414 Clinton PL Ste 106
River Forest, IL 60305-2248
Mailing address
414 Clinton PL
River Forest, IL 60305-2255
Other providers in River Forest, IL
- Dana Burrello
- Nichole M Butler-Moo Young
- Brittanie Butler
- Maria Elena Calafell
- Cameo Endodontics, LTD
- Colleen Carraher
- Jaime Carrillo
- Frank Joseph Caruso IV
- Catenacci Consulting LTD
- Catrambone Dental Associates, PC
All providers in River Forest, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.