Individual provider Active NPI

Elizabeth Ann Paveza, MS

  • Marriage & Family Therapist
  • Bloomingdale, IL
National Provider Identifier
1245329689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
125 E Lake St
Suite 204
Bloomingdale, IL 60108-1179
Phone
(630) 640-3687
Fax
(630) 539-1094
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IL Primary

Addresses

Primary practice location

125 E Lake St
Suite 204
Bloomingdale, IL 60108-1179

Mailing address

235 Schreiber Ave
Roselle, IL 60172-1066
Phone (630) 640-3687

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
I20260609001329 IL Practitioner - Marriage and Family Therapist 1557839354 Practice locations: Bloomingdale, IL

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Tiffany PT
Suite 117
Bloomingdale, IL 60108-2936
Phone (630) 640-3687

1560 Wood Creek TRL
Bartlett, IL 60103-3036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
166-000626ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245329689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SCHREIBER AVE",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721066",
            "telephone_number": "630-640-3687",
            "fax_number": "630-539-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E LAKE ST",
            "address_2": "SUITE 204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081179",
            "telephone_number": "630-640-3687",
            "fax_number": "630-539-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEZA",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.