Individual provider Active NPI

Sofia Newaz, LPC

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1306414156
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178017050 Issued in IL
Practice address
828 Davis St Ste 213
Evanston, IL 60201-4420
Phone
(312) 781-2850
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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 178017050 IL Primary

Addresses

Primary practice location

828 Davis St Ste 213
Evanston, IL 60201-4420

Mailing address

10687 Meadowfields CT
Centerville, OH 45458-4745
Phone (937) 477-5586

Other practice location 1

3525 W Peterson Ave Ste 522
Chicago, IL 60659-3317
Phone (312) 781-2850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507002424 IL Practitioner - Mental Health Counselor 8729505342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

3223 N Sheffield Ave
Suite C
Chicago, IL 60657-7231
Phone (773) 880-2409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178017050ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Psych Therapy Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Rockford Psychiatric Medical Services, S.C. CurrentSince May 1, 2025 Accepting new patients

Locations

3525 W Peterson Ave
Ste 522
Chicago, IL 60659
Phone (312) 781-2850

1202 W Monroe St
Fl 1
Chicago, IL 60607
Phone (630) 517-2934

3223 N Sheffield Ave
Ste C
Chicago, IL 60657
Phone (630) 755-5276

828 Davis St
Ste 213
Evanston, IL 60201
Phone (312) 781-2850

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

Interoperability endpoints

  • Direct secure messaging: sofia.newaz.1@25899.direct.athenahealth.com

Organizations & group practices 2

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1306414156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10687 MEADOWFIELDS CT",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454584745",
            "telephone_number": "937-477-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 DAVIS ST STE 213",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014420",
            "telephone_number": "312-781-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 W Peterson Ave Ste 522",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593317",
            "country_code": "US",
            "telephone_number": "312-781-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWAZ",
        "first_name": "SOFIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178017050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.