Active NPI
Maria Catanzaro, LPC
- Professional Counselor
- Lake Zurich, IL
National Provider Identifier
1265999874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.014200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014200 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Counselor
- Wheaton, IL
- NPI 1699437558
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.