Active NPI
Jesus Adrian Cedillo Ledesma, MA
- Counselor
- Chicago, IL
National Provider Identifier
1346941648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.014794
- Practice address
- 1440 W Taylor St # 1234
Chicago, IL 60607-4623 - Phone
- (773) 956-4559
- NPI assigned
- Mar 14, 2023
- Sex
- Male
- 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 | 180.014794 | IL | Primary |
Addresses
Primary practice location
1440 W Taylor St # 1234
Chicago, IL 60607-4623
Mailing address
1440 W Taylor St # 1234
Chicago, IL 60607-4623
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 |
|---|---|---|---|
| 180.014794 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1346941648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 W TAYLOR ST # 1234",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 W TAYLOR ST # 1234",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074623",
"telephone_number": "773-956-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDILLO LEDESMA",
"first_name": "JESUS",
"middle_name": "ADRIAN",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.014794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.