Individual provider Active NPI

Megan Alvarez, LCPC

  • Professional Counselor
  • Crystal Lake, IL
National Provider Identifier
1376977546
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008739 Issued in IL
Practice address
500 Coventry LN Ste 130
Crystal Lake, IL 60014-7578
Phone
(815) 453-8966
NPI assigned
Aug 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180008739 IL Primary

Addresses

Primary practice location

500 Coventry LN Ste 130
Crystal Lake, IL 60014-7578

Mailing address

500 Coventry LN Ste 130
Crystal Lake, IL 60014-7578
Phone (815) 889-0582

Other names 1

  • Megan Blazek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603003343 IL Practitioner - Mental Health Counselor 8426590613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geek Therapy Guild PLLCGroup PAC ID 6608216528, 3 clinicians
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

500 Coventry LN
Suite 130
Crystal Lake, IL 60014-7578
Phone (815) 889-0582

550 Ridgeview Dr
McHenry, IL 60050-7008
Phone (815) 900-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180008739ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Geek Therapy Guild PLLC Professional CurrentSince May 1, 2024 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

500 Coventry Ln
Ste 130
Crystal Lake, IL 60014
Phone (630) 446-0110

550 Ridgeview Dr
McHenry, IL 60050
Phone (800) 455-6768

Organizations & group practices 2

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": "1377302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1376977546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN STE 130",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147578",
            "telephone_number": "815-889-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COVENTRY LN STE 130",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147578",
            "telephone_number": "815-453-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "MEGAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-24",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BLAZEK",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.