Individual provider Active NPI

Liliana Carrillo

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1245717677
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013906 Issued in IL
Practice address
5554 S Homan Ave
Chicago, IL 60629-3110
Phone
(773) 886-5483
NPI assigned
Jul 27, 2018
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 180.013906 IL Primary

Addresses

Primary practice location

5554 S Homan Ave
Chicago, IL 60629-3110

Mailing address

5554 S Homan Ave
Chicago, IL 60629-3110
Phone (773) 886-5483

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
I20240201001371 IL Practitioner - Mental Health Counselor 4183077530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.013906ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
LC-Azomalli Counseling P.L.L.C. CurrentSince Dec 8, 2024 Accepting new patients
Rodasi LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 312-9385

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1245717677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 S HOMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293110",
            "telephone_number": "773-886-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 S HOMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293110",
            "telephone_number": "773-886-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "LILIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.