NPIMap

Organization Active NPI

Bellosa Counseling, LLC

  • Mental Health Counselor
  • Park Ridge, IL
National Provider Identifier
1376091637
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180007252 Issued in IL
Legal business name
BELLOSA COUNSELING, LLC
Practice address
350 S Northwest Hwy
Ste 300
Park Ridge, IL 60068-4216
Phone
(847) 656-5259
NPI assigned
Sep 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Christine Bellosa, LCPCNPI 1336317627
Title
President
Phone
(312) 420-8597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180007252 IL Primary

Addresses

Primary practice location

350 S Northwest Hwy
Ste 300
Park Ridge, IL 60068-4216

Mailing address

7730 W Jerome St
Chicago, IL 60631-4226
Phone (312) 420-8597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250710004278 IL Part B Supplier - Clinic/Group Practice 1850806753 Receives reassigned benefits from 13 practitioners
Practice locations: Park Ridge, IL

National Provider Directory

National Provider Directory

Locations

1580 N Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 220-4977

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1376091637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 W JEROME ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606314226",
            "telephone_number": "312-420-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY",
            "address_2": "STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684216",
            "telephone_number": "847-656-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLOSA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "BELLOSA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-420-8597",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180007252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.