Active NPI
Robert Yata, MA, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1043615974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178010454
- Practice address
- 1300 W Belmont Ave
Suite 400
Chicago, IL 60657-3200 - Phone
- (773) 880-1310
- Fax
- (773) 880-1321
- NPI assigned
- Nov 4, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178010454 | IL | Primary |
Addresses
Primary practice location
1300 W Belmont Ave
Suite 400
Chicago, IL 60657-3200
Mailing address
1300 W Belmont Ave
Suite 400
Chicago, IL 60657-3200
Phone (773) 880-1310
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 |
|---|---|---|---|
| 178010454 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Oak, Inc. | 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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1629141163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1043615974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "SUITE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "773-880-1310",
"fax_number": "773-880-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W BELMONT AVE",
"address_2": "SUITE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573200",
"telephone_number": "773-880-1310",
"fax_number": "773-880-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATA",
"first_name": "ROBERT",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178010454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.