Individual provider Active NPI

Taiz I Garcia

  • Mental Health Counselor
  • Bolingbrook, IL
National Provider Identifier
1053037895
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180017720 Issued in IL
Practice address
440 Quadrangle Dr Ste K
Bolingbrook, IL 60440-3455
Phone
(779) 875-9190
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180017720 IL Primary
Professional Counselor 101YP2500X 178.018441 IL

Addresses

Primary practice location

440 Quadrangle Dr Ste K
Bolingbrook, IL 60440-3455

Mailing address

440 Quadrangle Dr Ste K
Bolingbrook, IL 60440-3455
Phone (779) 875-9190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taiz@perriconecounseling.com Direct

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

State licenses

LicenseStateTypeSpecialty
180017720ILMDMental Health Counselor
178.018441ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1053037895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 QUADRANGLE DR STE K",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403455",
            "telephone_number": "779-875-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 QUADRANGLE DR STE K",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403455",
            "telephone_number": "779-875-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "TAIZ",
        "middle_name": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180017720",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.018441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taiz@perriconecounseling.com",
            "affiliation": "N",
            "endpointDescription": "Secure Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Work Email",
            "address_1": "440 Quadrangle Dr Ste K",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604403455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.