Active NPI
Maya Oyarbide-Sanchez, MA, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1235488776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.011705
- Practice address
- 1340 S Damen Ave
Mezzanine Suite C
Chicago, IL 60608 - Phone
- (312) 762-2745
- NPI assigned
- Aug 30, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6425-125 | WI | |
| Professional Counselor | 101YP2500X | 12750 | CO | |
| Professional Counselor | 101YP2500X | 180.011705 | IL | Primary |
Addresses
Primary practice location
1340 S Damen Ave
Mezzanine Suite C
Chicago, IL 60608
Mailing address
1340 S. Damen Ave.
Mezzanine Suite C
Chicago, IL 60608
Phone (312) 762-2745
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.011705 | IL | MD | Professional Counselor |
| 6425-125 | WI | MD | Professional Counselor |
| 12750 | CO | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1235488776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 S. DAMEN AVE.",
"address_2": "MEZZANINE SUITE C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "312-762-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 S DAMEN AVE",
"address_2": "MEZZANINE SUITE C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "312-762-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OYARBIDE-SANCHEZ",
"first_name": "MAYA",
"credential": "MA, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6425-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "12750",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.011705",
"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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.