Individual provider Active NPI

Elsa Chinchilla, MA, LCPC

  • Professional Counselor
  • Des Plaines, IL
National Provider Identifier
1396177374
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180002292 Issued in IL
Practice address
1717 Rand Rd
Des Plaines, IL 60016-3509
Phone
(847) 376-2111
Fax
(847) 390-8214
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 180002292 IL Primary

Addresses

Primary practice location

1717 Rand Rd
Des Plaines, IL 60016-3509

Mailing address

730 N Wabash Ave
Courtyard Building
Chicago, IL 60611-2514
Phone (312) 573-8005

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

LicenseStateTypeSpecialty
180002292ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Archdiocese of Chicago PastSince Aug 7, 2016 Accepting new patients
NPI 1245646272 Professional Past 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, 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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1396177374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N WABASH AVE",
            "address_2": "COURTYARD BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112514",
            "telephone_number": "312-573-8005",
            "fax_number": "312-573-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 RAND RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163509",
            "telephone_number": "847-376-2111",
            "fax_number": "847-390-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINCHILLA",
        "first_name": "ELSA",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.