Active NPI
Patricia A Saenz, LCPC
- Mental Health Counselor
- Forest Park, IL
National Provider Identifier
1225043698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7530 Lexington St
Forest Park, IL 60130-2223 - Phone
- (708) 657-4024
- Fax
- (708) 657-4024
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
7530 Lexington St
Forest Park, IL 60130-2223
Mailing address
4321 Kolze Ave
Schiller Park, IL 60176-1919
Phone (847) 708-1553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COMPSYCH | Other | IL | 266978 |
| 01635966 | Other | IL | BLUE CROSS / BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005916 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225043698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 KOLZE AVE",
"city": "SCHILLER PARK",
"state": "IL",
"postal_code": "601761919",
"telephone_number": "847-708-1553",
"fax_number": "847-928-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7530 LEXINGTON ST",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "601302223",
"telephone_number": "708-657-4024",
"fax_number": "708-657-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAENZ",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "266978",
"identifier": "COMPSYCH",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "01635966",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.