Active NPI
Teresa Elayyan, CADC, ICDVP
- Addiction (Substance Use Disorder) Counselor
- Oak Lawn, IL
National Provider Identifier
1104558147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 36010
- Practice address
- 4239 W 95TH St
Oak Lawn, IL 60453-2623 - Phone
- (708) 529-0188
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 36010 | IL | Primary |
Addresses
Primary practice location
4239 W 95TH St
Oak Lawn, IL 60453-2623
Mailing address
16728 Julie Ann LN
Orland Park, IL 60467-5651
Phone (170) 894-0232
Other practice location 1
15030 S Ravinia Ave Ste 31
Orland Park, IL 60462-3256
Phone (708) 550-3185
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | t.elayyan@solleys.org | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36010 | IL | MD | Addiction (Substance Use Disorder) Counselor |
Interoperability endpoints
- teresa.elayyan@489656322949124.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1104558147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16728 JULIE ANN LN",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675651",
"telephone_number": "170-894-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4239 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532623",
"telephone_number": "708-529-0188"
}
],
"practiceLocations": [
{
"address_1": "15030 S Ravinia Ave Ste 31",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604623256",
"country_code": "US",
"telephone_number": "708-550-3185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELAYYAN",
"first_name": "TERESA",
"name_prefix": "Mrs.",
"credential": "CADC, ICDVP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "36010",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "t.elayyan@solleys.org",
"affiliation": "N",
"endpointDescription": "work email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4239 W 95th St",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.