Active NPI
Toya Pink
- Counselor
- Evergreen Park, IL
National Provider Identifier
1346071834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 9730 S Western Ave Ste 418
Evergreen Park, IL 60805-2777 - Phone
- (773) 753-0600
- NPI assigned
- Aug 8, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
9730 S Western Ave Ste 418
Evergreen Park, IL 60805-2777
Mailing address
9110 S Laflin St
Chicago, IL 60620-0030
Phone (630) 664-3658
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Child and Family Services of Illinois | Current | Accepting new patients |
Locations
9730 S Western Ave
Ste 418
Evergreen Park, IL 60805
Phone (773) 753-0600
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Evergreen Park, IL
- NPI 1780449181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1346071834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9110 S LAFLIN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606200030",
"telephone_number": "630-664-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 S WESTERN AVE STE 418",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052777",
"telephone_number": "773-753-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINK",
"first_name": "TOYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.