Organization Active NPI

Elevate Counseling PLLC

  • Mental Health Counselor
  • Waukegan, IL
National Provider Identifier
1164305769
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEVATE COUNSELING PLLC
Practice address
2405 Dunlay CT Apt 1E
Waukegan, IL 60085-4572
Phone
(224) 610-9797
NPI assigned
Jul 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Alfonso Martinez, LCPCNPI 1780469197
Title
Therapist/ Owner
Phone
(224) 610-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2405 Dunlay CT Apt 1E
Waukegan, IL 60085-4572

Mailing address

2405 Dunlay CT Apt 1E
Waukegan, IL 60085-4572
Phone (224) 610-9797

Other identifiers 1

IdentifierTypeStateIssuer
16548477OtherILCAQH ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1164305769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 DUNLAY CT APT 1E",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854572",
            "telephone_number": "224-610-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 DUNLAY CT APT 1E",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854572",
            "telephone_number": "224-610-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "THERAPIST/ OWNER",
        "authorized_official_telephone_number": "224-610-9797",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "16548477",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.