Fanny Karem Acuna Garcia
Individual provider Active NPI Professional Counselor · Chicago, IL
NPI 1205795333 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1205795333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.021107 (IL)
- Practice address
- 3058 W Belmont Ave Unit 2D
Chicago, IL 60618-5707 - Phone
- (312) 725-4879
- NPI assigned
- Jan 15, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitae Health Medical Illinois, PLLC
Practice addresses (Care Compare)
735 W Diversey Pkwy
Chicago, IL 60614-2337
Phone (773) 348-4055
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260612001182 | IL | Practitioner - Mental Health Counselor | 1557833373 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.021107 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.021107 | IL | Yes |
Addresses
Primary practice location
3058 W Belmont Ave Unit 2D
Chicago, IL 60618-5707
Mailing address
3058 W Belmont Ave Unit 2D
Chicago, IL 60618-5707
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All providers in Chicago, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.