Individual provider Active NPI

Paola Francesca Duran, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1225516263
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011711 Issued in IL
Practice address
4141 N Kedzie
Suite #2
Chicago, IL 60618-2477
Phone
(773) 754-0577
Fax
(773) 754-0548
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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 180.011711 IL Primary

Addresses

Primary practice location

4141 N Kedzie
Suite #2
Chicago, IL 60618-2477

Mailing address

4141 N Kedzie
Suite #2
Chicago, IL 60618-2477
Phone (773) 754-0577

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

LicenseStateTypeSpecialty
180.011711ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Expanded Mental Health Services of Chicago NFP PastSince Jul 17, 2018 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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1225516263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 N KEDZIE",
            "address_2": "SUITE #2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182477",
            "telephone_number": "773-754-0577",
            "fax_number": "773-754-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N KEDZIE",
            "address_2": "SUITE #2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182477",
            "telephone_number": "773-754-0577",
            "fax_number": "773-754-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "PAOLA",
        "middle_name": "FRANCESCA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.