Naomi Marie Ledezma, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178019444 Issued in IL

Practice address

3317 W 95TH St
Evergreen Park, IL 60805-2243

Phone

(708) 529-3011

Fax

(708) 529-3207

NPI assigned

Oct 20, 2023

Last updated

Oct 22, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1154103455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7732 S KENTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521129",
            "telephone_number": "773-992-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243",
            "telephone_number": "708-529-3011",
            "fax_number": "708-529-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDEZMA",
        "first_name": "NAOMI",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178019444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannet Laplanche, D.D.S.
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• Krystyna Larson, P.T., CLT
• Laurel Health Center, Inc.
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• Abby Lee, DMD, MS
• Erin Lee, LCSW
• Hae C. Lee, M.D.
• Jessica Genevieve Lee, MD
• Timothy Lee

• Mental Health Counselor in Evergreen Park, IL
• Providers in Evergreen Park, 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 Oct 22, 2023; 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.