Marisol Guadalupe Arreola

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5341 W Cermak Rd
Cicero, IL 60804-2817

Phone

(708) 656-6430

NPI assigned

Apr 8, 2019

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

Other identifiers 1

Other names 1

• Ms. Marisol Guadalupe Chavez Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Service and Mental Health Center of Cicero

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cicero, IL
  • NPI 1831119767
  NPD (past)

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1154884013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 S 61ST AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041663",
            "telephone_number": "773-419-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042817",
            "telephone_number": "708-656-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREOLA",
        "first_name": "MARISOL",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "C12054790799",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.cicerofs.org",
            "affiliation": "N",
            "endpointDescription": "business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business",
            "address_1": "5341 W Cermak Rd",
            "city": "Cicero",
            "state": "IL",
            "country_code": "US",
            "postal_code": "608042817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISOL",
            "last_name": "CHAVEZ",
            "middle_name": "GUADALUPE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaime Arellano
• Kaina Arias
• Arif Samee, DDS CHTD
• Katherine Armstrong
• Yesenia Arreguin
• Lesley Cristal Arroyo
• Yudith Arroyo
• Francisco Avalos, M.D.
• Jessie Avilez
• Akanksha Bali, DMD

• Mental Health Counselor in Cicero, IL
• Providers in Cicero, 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 Apr 8, 2019; 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.