Individual provider Active NPI

Leila Nelson

  • Professional Counselor
  • Huntley, IL
National Provider Identifier
1235511775
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180011834 Issued in IL
Practice address
9861 Aberdeen LN
Huntley, IL 60142-2433
Phone
(847) 450-8450
NPI assigned
Jun 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 180011834 IL Primary

Addresses

Primary practice location

9861 Aberdeen LN
Huntley, IL 60142-2433

Mailing address

101 S Jefferson St
Woodstock, IL 60098-3437

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240910001415 IL Practitioner - Mental Health Counselor 8426598087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformations Counseling PLLCGroup PAC ID 9830639517, 5 clinicians

Practice addresses (Care Compare)

6845 Weaver Rd
Suite 100
Rockford, IL 61114-8051
Phone (815) 324-3979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180011834ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Counseling PLLC Professional CurrentSince Jul 15, 2024 Accepting new patients

Locations

9 Crystal Lake Rd
Ste 150
Lake in the Hills, IL 60156
Phone (815) 324-3979

6845 Weaver Rd
Ste 100
Rockford, IL 61114
Phone (815) 324-3979

5844 Elaine Dr
#103
Rockford, IL 61108

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": "1434844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1235511775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S JEFFERSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9861 ABERDEEN LN",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422433",
            "telephone_number": "847-450-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LEILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-21",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.