Individual provider Active NPI

Anna Elagina, LCPC, NCC, CADC

  • Mental Health Counselor
  • Bolingbrook, IL
National Provider Identifier
1164016986
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
404 W Boughton Rd Ste a
Bolingbrook, IL 60440-1898
Phone
(872) 760-4353
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

404 W Boughton Rd Ste a
Bolingbrook, IL 60440-1898

Mailing address

625 Forest Way
Bolingbrook, IL 60440-2518
Phone (872) 760-4353

Other practice location 1

24047 W Lockport St Ste 201G
Plainfield, IL 60544-1680
Phone (872) 760-4353

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Elagina Counseling PLLC Mental Health CurrentSince Oct 8, 2023 Accepting new patients

Locations

404 W Boughton Rd
Ste A
Bolingbrook, IL 60440
Phone (630) 378-1774

24047 W Lockport St
Ste 201G
Plainfield, IL 60544
Phone (815) 531-4556

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

Organizations & group practices 1

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1164016986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FOREST WAY",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402518",
            "telephone_number": "872-760-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W BOUGHTON RD STE A",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401898",
            "telephone_number": "872-760-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24047 W Lockport St Ste 201G",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605441680",
            "country_code": "US",
            "telephone_number": "872-760-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELAGINA",
        "first_name": "ANNA",
        "credential": "LCPC, NCC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.