Active NPI
Diana Chavez, LPC
- Counselor
- Westmont, IL
National Provider Identifier
1174224182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.018910
- Practice address
- 305 Quail Ridge Dr
Westmont, IL 60559-6144 - Phone
- (630) 580-8080
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.018910 | IL | Primary |
Addresses
Primary practice location
305 Quail Ridge Dr
Westmont, IL 60559-6144
Mailing address
3730 Prairie Ave
Brookfield, IL 60513-1612
Phone (708) 830-0036
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.elevatecounseling.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.018910 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Counseling and Wellness LLC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1174224182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 PRAIRIE AVE",
"city": "BROOKFIELD",
"state": "IL",
"postal_code": "605131612",
"telephone_number": "708-830-0036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 QUAIL RIDGE DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596144",
"telephone_number": "630-580-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "DIANA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.018910",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.elevatecounseling.com",
"affiliation": "N",
"address_1": "305 Quail Ridge Dr",
"city": "Westmont",
"state": "IL",
"country_code": "US",
"postal_code": "605596144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.