Active NPI
Nora Zara Khani, LCPC
- Professional Counselor
- Park Ridge, IL
National Provider Identifier
1174279657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.016635
- Practice address
- 250 S Northwest Hwy Ste 110
Park Ridge, IL 60068-4237 - Phone
- (224) 985-5824
- NPI assigned
- Feb 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.016436 | IL | |
| Professional Counselor | 101YP2500X | 180.016635 | IL | Primary |
Addresses
Primary practice location
250 S Northwest Hwy Ste 110
Park Ridge, IL 60068-4237
Mailing address
6325 N Sheridan Rd
Chicago, IL 60660-1749
Phone (708) 945-4122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.016436 | IL | MD | Professional Counselor |
| 180.016635 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients |
Locations
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
250 S Northwest Hwy
Ste 110
Park Ridge, IL 60068
Phone (224) 422-2149
Organizations & group practices 2
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.
-
- Psychologist
- Naperville, IL
- NPI 1295914646
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1174279657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606601749",
"telephone_number": "708-945-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S NORTHWEST HWY STE 110",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684237",
"telephone_number": "224-985-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANI",
"first_name": "NORA",
"middle_name": "ZARA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.016436",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.016635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.