Individual provider Active NPI

Simona Tuminello, LCPC

  • Professional Counselor
  • Palos Heights, IL
National Provider Identifier
1407351133
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.009143 Issued in IL
Practice address
12236 S Nagle Ave
Palos Heights, IL 60463-1722
Phone
(708) 712-6185
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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 180.009143 IL Primary

Addresses

Primary practice location

12236 S Nagle Ave
Palos Heights, IL 60463-1722

Mailing address

12236 S Nagle Ave
Palos Heights, IL 60463-1722
Phone (708) 712-6185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • 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
I20250530002209 IL Practitioner - Mental Health Counselor 4880103035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.009143ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pillars Community Health CurrentSince May 7, 2025 Accepting new patients
Pillars Community Health Current Accepting new patients
Pillars Community Health CurrentSince May 7, 2025 Accepting new patients

Locations

6918 W Windsor Ave
Berwyn, IL 60402
Phone (708) 795-4800

5220 East Ave
Countryside, IL 60525

Organizations & group practices 3

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1407351133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12236 S NAGLE AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631722",
            "telephone_number": "708-712-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12236 S NAGLE AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631722",
            "telephone_number": "708-712-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMINELLO",
        "first_name": "SIMONA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.