Tara M Javidan, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009066 Issued in IL

Practice address

333 N Michigan Ave
Suite 1900
Chicago, IL 60601-3901

Phone

(312) 540-9955

Fax

(312) 346-5042

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1174918932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "SUITE 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "312-540-9955",
            "fax_number": "312-346-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE",
            "address_2": "SUITE 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013901",
            "telephone_number": "312-540-9955",
            "fax_number": "312-346-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIDAN",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilliana Jauregui
• Melisa Jauregui, LCMT, COTA/L
• Basma Javaid
• Adil Javed
• Javette C Orgain MD SC
• Javier Moreno MD Corp
• Ana Lilia Javier-Etapa, L.C.P.C
• Calvin Javier, MD
• Carlito Cruz Javier, MD
• Desler Johnson Javier, M.D.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.