Niveditha Christodoss, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180005760 Issued in IL

Practice address

302 Randall Rd
LL30
Geneva, IL 60134-4209

Phone

(630) 262-2640

Fax

(630) 262-2645

NPI assigned

May 12, 2010

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Georgina Srinivas Rao, M.D., S.C.Group PAC ID 1052477981, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Georgina Srinivas Rao, M.D., S.C.

  • Psychiatry Physician
  • Saint Charles, IL
  • NPI 1831344480
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1194043455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "LL30",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-262-2640",
            "fax_number": "630-262-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "LL30",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344209",
            "telephone_number": "630-262-2640",
            "fax_number": "630-262-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTODOSS",
        "first_name": "NIVEDITHA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Chhun, ABAT
• Natalie Joan Sefton Choi, MD
• Susan Choice, PT
• Nancy Alexander Christ, O.D.
• Robert Charles Christ, OD
• Joanna Chura, DPM
• Kaleb Church, PA
• Elizabeth Marie Cibura, LCSW
• Peter D Cladis, M.D.
• Alythea Claiborne, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.