Zellessia S Ejalonibu, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.014055 Issued in IL

Practice address

10540 S Western Ave Ste 103
Chicago, IL 60643-2541

Phone

(312) 569-0614

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• L.E.a.D.O.F.F. Counseling and Consulting, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1992353213
  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1285282657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17006 NOVAK DR APT 201",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291148",
            "telephone_number": "708-724-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432541",
            "telephone_number": "312-569-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJALONIBU",
        "first_name": "ZELLESSIA",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.014055",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014055",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pfeffer J Eisin, M.A.,L.C.P.C.
• Shanelle Binggeli Eiswirth, ACNP
• Melanie A Eitenmiller, MOT OTR/L
• Mariet Eivazi
• Caroline Mary Eizik, LCPC
• Aslam Ejaz, M.D.
• Chukwudebelu Franklin Ejiogu
• Ejm Transportation
• Maria Ejsbrenner, DDS
• Benjamin Ejzak

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.