Carla Soledad Almeida

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

100 6TH Ave
La Grange, IL 60525-2432

Phone

(773) 777-7112

Fax

(708) 469-7305

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Youth Outreach Services

  • Community/Behavioral Health Agency
  • Melrose Park, IL
  • NPI 1568916476
  NPD (past)
• Youth Outreach Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Melrose Park, IL
  • NPI 1811227341
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1164061214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 6TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252432",
            "telephone_number": "773-777-7112",
            "fax_number": "708-469-7305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4419 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Melrose Park",
            "state": "IL",
            "postal_code": "601601021",
            "country_code": "US",
            "telephone_number": "708-328-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMEIDA",
        "first_name": "CARLA",
        "middle_name": "SOLEDAD",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajl Counseling PLLC
• Sandra Al-Sakkal, MD
• Anne Therese Albi, SLP
• Daniya Ali, CCC-SLP
• Kristen Marie Allan
• Jessica Amashta
• Marvin Anaya, HIS
• Carol Marie Anders, P.T.A.
• John Eric Anderson, O.D.
• Angela Lebessis DDS PLLC

• Counseling Psychologist in La Grange, IL
• Providers in La Grange, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.