Active NPI
Yahaira N Torres, LCSW
- Clinical Social Worker
- Gurnee, IL
National Provider Identifier
1215282504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.019150
- Practice address
- 505 N Riverside Dr Ste 201
Gurnee, IL 60031-5922 - Phone
- (708) 603-9499
- NPI assigned
- Jul 23, 2012
- Last updated
- May 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.019150 | IL | Primary |
Addresses
Primary practice location
505 N Riverside Dr Ste 201
Gurnee, IL 60031-5922
Mailing address
505 N Riverside Dr Ste 201
Gurnee, IL 60031-5922
Phone (708) 603-9499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215282504 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ytorres@evolveyouthfamilycounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.019150 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Youth & Family Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
34121 N US Highway 45
Ste 103
Grayslake, IL 60030
505 N Riverside Dr
Ste 201
Gurnee, IL 60031
Phone (708) 603-9499
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1215282504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N RIVERSIDE DR STE 201",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315922",
"telephone_number": "708-603-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N RIVERSIDE DR STE 201",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315922",
"telephone_number": "708-603-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "YAHAIRA",
"middle_name": "N",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215282504",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Ytorres@evolveyouthfamilycounseling.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "505 N Riverside Dr Ste 201",
"city": "Gurnee",
"state": "IL",
"country_code": "US",
"postal_code": "600315922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.