Pablo Mercado

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178015993 Issued in IL

Practice address

2319 S Damen Ave
Chicago, IL 60608-4209

Phone

(872) 281-7575

Fax

(773) 801-0084

NPI assigned

May 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1124765508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WILLOW BLVD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801627",
            "telephone_number": "830-290-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084209",
            "telephone_number": "872-281-7575",
            "fax_number": "773-801-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "PABLO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "1821597063",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben Dario Mercado Santos
• Alvaro O Mercado, MD
• Cheryl Anne Mercado, OTR
• Guadalupe Mercado
• Lloyd Mercado, ANP
• Pilar R. Mercado, M.D.
• Ramiro O Mercado, M.D.
• Veronica I Mercado, M.S.
• Mercedes Gutierrez Dba Connecting Dots
• Amelia Eilene Mercer, RN, AGPCNP-BC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.