Individual provider Active NPI

Wei-Chiung Chen-Martinez, LCPC

  • Professional Counselor
  • Niles, IL
National Provider Identifier
1215475900
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180011424 Issued in IL
Practice address
6860 W Oakton CT
Niles, IL 60714-3013
Phone
(773) 417-6546
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180011424 IL Primary

Addresses

Primary practice location

6860 W Oakton CT
Niles, IL 60714-3013

Mailing address

6860 W Oakton CT
Niles, IL 60714-3013
Phone (773) 417-6546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 1, 2024 through Mar 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180011424ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
True Colors Psychotherapy, LLC Professional CurrentSince May 25, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1215475900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 W OAKTON CT",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143013",
            "telephone_number": "773-417-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 W OAKTON CT",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143013",
            "telephone_number": "773-417-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN-MARTINEZ",
        "first_name": "WEI-CHIUNG",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.