Kelly Zavala

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178014302 Issued in IL

Practice address

137 N Oak Park Ave
Oak Park, IL 60301-1344

Phone

(708) 539-9227

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1114514932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 GUNDERSON AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023120",
            "telephone_number": "708-539-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-539-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OakPark",
            "affiliation": "N",
            "endpointDescription": "MailingAddress",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "self",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Oak Park",
            "address_1": "137 N Oak Park Ave",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603011344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bilal Zakria, M.D.
• Dakota A Zamora, CHES, CLS
• Wendy Jasmine Zanabria
• Gail Zarbin, L.C.S.W.
• Jose Zavala, LCSW
• Laura Zawacki, MS,PT,PCS
• Polina Zaytsev, M.D.
• Jessica Zduniewicz
• Eva M. Zeidner, L.C.P.C.
• Maya Zelio, LCSW

• Professional Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.