Tracy Nitta Takeda, MA , LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-002939 Issued in IL

Practice address

27475 Ferry Rd Ste 130
Warrenville, IL 60555-3808

Phone

(630) 277-9170

Fax

(630) 277-8362

NPI assigned

Sep 29, 2006

Last updated

Mar 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TK Counseling PLLC

  • Mental Health Counselor
  • Warrenville, IL
  • NPI 1699504878

  Professional

  Medicare reassignment NPD Authorized official
• Kaleidoscope Clinical Counseling, PLLC

  • Professional Counselor
  • Sugar Grove, IL
  • NPI 1669223780
  NPD
• Samaritan Counseling Center

  • Marriage & Family Therapist
  • Winnetka, IL
  • NPI 1841397353
  NPD (past)
• Samaritan Interfaith Counseling Center Inc.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1497842983
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1225120900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 FERRY RD STE 130",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553808",
            "telephone_number": "630-277-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27475 FERRY RD STE 130",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553808",
            "telephone_number": "630-277-9170",
            "fax_number": "630-277-8362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Division Dr Ste J",
            "address_purpose": "LOCATION",
            "city": "Sugar Grove",
            "state": "IL",
            "postal_code": "605549800",
            "country_code": "US",
            "telephone_number": "630-277-9170",
            "fax_number": "630-277-8362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKEDA",
        "first_name": "TRACY",
        "middle_name": "NITTA",
        "name_prefix": "Mrs.",
        "credential": "MA , LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swing Care Provider Group, PC
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• Diane Maye Tabilo
• Aubrey Joann Tambellini, CD (DONA)
• Theresa Lee Tamez
• Galen L Tanner, M.A.
• Angelina Tarantello
• Mouneesha Tatineni, DC

• Professional Counselor in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.