Individual provider Active NPI

Magaly Loeza, MA

  • Counselor
  • Wheeling, IL
National Provider Identifier
1255910196
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
210 N Wolf Rd
Wheeling, IL 60090-2922
Phone
(847) 353-1500
NPI assigned
Apr 7, 2021
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 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 Primary

Addresses

Primary practice location

210 N Wolf Rd
Wheeling, IL 60090-2922

Mailing address

1111 W Lake Cook Rd
Buffalo Grove, IL 60089-1926
Phone (847) 353-1758

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
I20251208001230 IL Practitioner - Mental Health Counselor 6406349463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 W Lake Cook Rd
Buffalo Grove, IL 60089-1926

1616 Lotus Dr
Round Lake Beach, IL 60073-1637

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Youth Services, Inc. CurrentSince Sep 26, 2025 Accepting new patients
Omni Youth Services PastSince Apr 11, 2021 Accepting new patients
Omni Youth Services PastSince Apr 11, 2021 Accepting new patients

Locations

1111 W Lake Cook Rd
Buffalo Grove, IL 60089
Phone (847) 353-1500

1111 W Lake Cook Rd
Ste 505
Buffalo Grove, IL 60089

1880 W Winchester Rd
Ste 108
Libertyville, IL 60048
Phone (224) 676-2317

Organizations & group practices 3

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1255910196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891926",
            "telephone_number": "847-353-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WOLF RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902922",
            "telephone_number": "847-353-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEZA",
        "first_name": "MAGALY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

Verify at the official NPI Registry.