Individual provider Active NPI

Maria Catanzaro, LPC

  • Professional Counselor
  • Lake Zurich, IL
National Provider Identifier
1265999874
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.014200 Issued in IL
Practice address
61 S Old Rand Rd
Lake Zurich, IL 60047-3127
Phone
(847) 438-4222
Fax
(847) 807-3080
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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 178.014200 IL Primary

Addresses

Primary practice location

61 S Old Rand Rd
Lake Zurich, IL 60047-3127

Mailing address

17001 S 88TH Ave
Orland Park, IL 60462-5709
Phone (708) 833-9377

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
178.014200ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully Balanced Counseling PC Current Accepting new patients

Locations

661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045

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, 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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1265999874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17001 S 88TH AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625709",
            "telephone_number": "708-833-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 S OLD RAND RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473127",
            "telephone_number": "847-438-4222",
            "fax_number": "847-807-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANZARO",
        "first_name": "MARIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.