Active NPI
Maria Urquiza, MA
- Professional Counselor
- Highland Park, IL
National Provider Identifier
1306565213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019871
- Practice address
- 1160 Park Ave W Ste 6E
Highland Park, IL 60035-2271 - Phone
- (847) 241-1195
- Fax
- (312) 971-8554
- NPI assigned
- Aug 24, 2022
- 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 | 178.019871 | IL | Primary |
Addresses
Primary practice location
1160 Park Ave W Ste 6E
Highland Park, IL 60035-2271
Mailing address
1438 W Belmont Ave Ste 1
Chicago, IL 60657-2166
Phone (312) 508-3645
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019871 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light on Anxiety, P.C. | Counselor | Current | Accepting new patients |
Locations
1438 W Belmont Ave
Ste 1
Chicago, IL 60657
Phone 3125083645 ext. 36
1121 Lake Cook Rd
Ste A
Deerfield, IL 60015
Phone 3125083645 ext. 44
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": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1306565213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 W BELMONT AVE STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572166",
"telephone_number": "312-508-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 PARK AVE W STE 6E",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352271",
"telephone_number": "847-241-1195",
"fax_number": "312-971-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URQUIZA",
"first_name": "MARIA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.