Individual provider Active NPI

Tamara Stolovitzky, LPC

  • Counselor
  • Chicago, IL
National Provider Identifier
1245115641
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178021017 Issued in IL
Practice address
4141 N Kedzie Ave Ste 2
Chicago, IL 60618-2479
Phone
(773) 754-0577
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178021017 IL Primary

Addresses

Primary practice location

4141 N Kedzie Ave Ste 2
Chicago, IL 60618-2479

Mailing address

2108 N Saint Louis Ave
Chicago, IL 60647-7373
Phone (404) 273-3865

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
178021017ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Expanded Mental Health Services of Chicago NFP CurrentSince Aug 10, 2025 Accepting new patients

Locations

4141 N Kedzie Ave
Ste 2
Chicago, IL 60618
Phone (773) 203-5358

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": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1245115641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N SAINT LOUIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477373",
            "telephone_number": "404-273-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N KEDZIE AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182479",
            "telephone_number": "773-754-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLOVITZKY",
        "first_name": "TAMARA",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178021017",
            "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 6, 2025; 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.