Individual provider Active NPI

Erica Washington, MA, LPC, NCC

  • Mental Health Counselor
  • Harvey, IL
National Provider Identifier
1144620139
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180013175 Issued in IL
Practice address
14741 Main St
Harvey, IL 60426-1922
Phone
(708) 462-2134
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004205A IN
Mental Health Counselor 101YM0800X 178.012205 IL
Mental Health Counselor 101YM0800X 180013175 IL Primary

Addresses

Primary practice location

14741 Main St
Harvey, IL 60426-1922

Mailing address

14741 Main St
Harvey, IL 60426-1922
Phone (773) 649-9479

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
178.012205ILMDMental Health Counselor
180013175ILMDMental Health Counselor
39004205AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Obsidian Institute of Integrative Medicine Mental Health Current Accepting new patients
Obsidian Institute of Integrative Medicine Current Accepting new patients
Obsidian Holistic Services, LLC Mental Health Current Accepting new patients

Locations

4718 147th St
Midlothian, IL 60445
Phone (708) 658-4672

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1144620139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14741 MAIN ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261922",
            "telephone_number": "773-649-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14741 MAIN ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261922",
            "telephone_number": "708-462-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ERICA",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004205A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.012205",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.