Individual provider Active NPI

Rasa Ciceniene, M.A., LCPC

  • Mental Health Counselor
  • Oak Lawn, IL
National Provider Identifier
1275812158
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.007595 Issued in IL
Practice address
5019 W 99TH St
Oak Lawn, IL 60453-3036
Phone
(708) 262-1943
NPI assigned
Aug 10, 2011
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.007595 IL Primary

Addresses

Primary practice location

5019 W 99TH St
Oak Lawn, IL 60453-3036

Mailing address

5019 W 99TH St
Oak Lawn, IL 60453-3036
Phone (708) 262-1943

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.007595ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1275812158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 W 99TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533036",
            "telephone_number": "708-262-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 W 99TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533036",
            "telephone_number": "708-262-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICENIENE",
        "first_name": "RASA",
        "credential": "M.A., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.007595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.