Individual provider Active NPI

Yolanda M Solecki, MA, LCPC, CADC

  • Mental Health Counselor
  • La Grange, IL
National Provider Identifier
1376879510
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.004409 Issued in IL
Practice address
1030 S la Grange Rd
Office 9
La Grange, IL 60525-2800
Phone
(708) 808-4572
Fax
(708) 588-1501
NPI assigned
Oct 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.004409 IL Primary

Addresses

Primary practice location

1030 S la Grange Rd
Office 9
La Grange, IL 60525-2800

Mailing address

1030 S la Grange Rd
Office 25
La Grange, IL 60525-2800
Phone (708) 808-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 24, 2024 through Jan 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.004409ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kris Maynard LCSW LTD PastSince Jan 19, 2020 Accepting new patients

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1376879510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S LA GRANGE RD",
            "address_2": "OFFICE 25",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252800",
            "telephone_number": "708-808-4572",
            "fax_number": "708-588-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S LA GRANGE RD",
            "address_2": "OFFICE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252800",
            "telephone_number": "708-808-4572",
            "fax_number": "708-588-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLECKI",
        "first_name": "YOLANDA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.004409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

Verify at the official NPI Registry.