Individual provider Active NPI

Sandhya Talatam

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1285383612
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.017882 Issued in IL
Practice address
333 N Michigan Ave Ste 2021
Chicago, IL 60601-4025
Phone
(773) 234-7621
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 178.017882 IL Primary

Addresses

Primary practice location

333 N Michigan Ave Ste 2021
Chicago, IL 60601-4025

Mailing address

333 N Michigan Ave Ste 2021
Chicago, IL 60601-4025

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://intakeq.com

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
178.017882ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling and Wellness LLC Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1285383612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 2021",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N MICHIGAN AVE STE 2021",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014025",
            "telephone_number": "773-234-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALATAM",
        "first_name": "SANDHYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.017882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://intakeq.com",
            "affiliation": "N",
            "address_1": "333 N Michigan Ave Ste 2021",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606014025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.