Individual provider Active NPI

Andreina Phelan

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1376066381
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1300 W Belmont Ave Ste 400
Chicago, IL 60657-3260
Phone
(733) 880-1310
NPI assigned
Jul 21, 2017
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

1300 W Belmont Ave Ste 400
Chicago, IL 60657-3260

Mailing address

1300 W Belmont Ave Ste 400
Chicago, IL 60657-3260
Phone (733) 880-1310

Other practice location 1

2501 Chatham Rd Ste 8030
Springfield, IL 62704-4188
Phone (262) 361-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 20, 2025 through Feb 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speaking Minds Psychotherapy PLLC Mental Health Current Accepting new patients

Locations

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1376066381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573260",
            "telephone_number": "733-880-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573260",
            "telephone_number": "733-880-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Chatham Rd Ste 8030",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627044188",
            "country_code": "US",
            "telephone_number": "262-361-3715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "ANDREINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.