Individual provider Active NPI

Roxana M. Norvais, M.A.,L.C.P.C.

  • Professional Counselor
  • Tinley Park, IL
National Provider Identifier
1114042090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
16860 Oak Park Ave
Suite 201
Tinley Park, IL 60477-2761
Phone
(708) 614-7359
Fax
(708) 532-6449
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

16860 Oak Park Ave
Suite 201
Tinley Park, IL 60477-2761

Mailing address

16401 65TH CT
Tinley Park, IL 60477-1810
Phone (708) 614-7359

Other identifiers 1

IdentifierTypeStateIssuer
0001633570OtherILBLUE CROSS BLUE SHIELD

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

LicenseStateTypeSpecialty
180002912ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114042090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 65TH CT",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771810",
            "telephone_number": "708-614-7359",
            "fax_number": "708-532-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16860 OAK PARK AVE",
            "address_2": "SUITE 201",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772761",
            "telephone_number": "708-614-7359",
            "fax_number": "708-532-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVAIS",
        "first_name": "ROXANA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A.,L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001633570",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.