Megan Escutia, LPC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012302 Issued in IL

Practice address

159 N Sangamon St Ste 200
Chicago, IL 60607-2201

Phone

(312) 487-1179

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Revival Therapy & Wellness Inc

  dba Megan Escutia Therapy

  • Professional Counselor
  • Chicago, IL
  • NPI 1922734342
  NPD Authorized official
• Center for Behavioral Medicine, LTD

  dba ChicagoCBM

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1225377294
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1205482379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 TENNYSON ST UNIT 12451",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802124418",
            "telephone_number": "312-487-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N SANGAMON ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072201",
            "telephone_number": "312-487-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Wacker Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606064421",
            "country_code": "US",
            "telephone_number": "773-562-6989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Tennyson St Unit 12451",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802124418",
            "country_code": "US",
            "telephone_number": "312-487-1179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCUTIA",
        "first_name": "MEGAN",
        "credential": "LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.012600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel J Escobedo, CADC
• Liza A Escuadro, M.D.
• Alicia Escudero
• Jessica Escutia Calderon, LCSW
• Carlos Enrique Escutia Rosas
• Asim Esenkaya
• Alexandra Linnea Esfahani, LMFT
• Nilofar Esfahani
• Katerina Esguerra
• Shayet Hossain Eshan, MD

• 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 Feb 5, 2024; 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.