Active NPI
Elana Rae Copeland, MA, CADC
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
National Provider Identifier
1154051654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37415
- Practice address
- 3015 W Harrison St
Chicago, IL 60612-3342 - Phone
- (773) 537-3993
- NPI assigned
- Jun 16, 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 | 37415 | IL | Primary |
Addresses
Primary practice location
3015 W Harrison St
Chicago, IL 60612-3342
Mailing address
1255 N Sandburg Ter Unit 1608
Chicago, IL 60610-8269
Phone (847) 400-6498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 N Parkside Ave
Chicago, IL 60644-3040
Phone (773) 572-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37415 | IL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Thresholds | Current | Accepting new patients | |
| The Thresholds | Current | Accepting new patients | |
| The Thresholds | Current | Accepting new patients |
Locations
115 N Parkside Ave
Chicago, IL 60644
Phone (773) 295-3060
4101 N Ravenswood Ave
Chicago, IL 60613
Phone (773) 572-5434
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1669488029
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1083590996
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1679027734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1154051654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 N SANDBURG TER UNIT 1608",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606108269",
"telephone_number": "847-400-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123342",
"telephone_number": "773-537-3993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "ELANA",
"middle_name": "RAE",
"credential": "MA, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "37415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.