Individual provider Active NPI

Raquel A Ornelas, LPC

  • Counselor
  • Oak Lawn, IL
National Provider Identifier
1073804829
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.006497 Issued in IL
Practice address
9916 S Cicero Ave
Oak Lawn, IL 60453-4001
Phone
(708) 256-4675
NPI assigned
Apr 27, 2011
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.006497 IL Primary

Addresses

Primary practice location

9916 S Cicero Ave
Oak Lawn, IL 60453-4001

Mailing address

9916 S Cicero Ave
Oak Lawn, IL 60453-4001
Phone (708) 256-4675

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
I20240513001550 IL Practitioner - Mental Health Counselor 9537500228 Practice locations: Oak Lawn, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Oak Lawn, IL 60453
Phone (708) 256-4674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.006497ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Raquel Ornelas Counseling LLC Current Accepting new patients

Locations

9411 S 51st Ave
Oak Lawn, IL 60453
Phone (312) 771-1109

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1073804829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534001",
            "telephone_number": "708-256-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534001",
            "telephone_number": "708-256-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "RAQUEL",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.006497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.