Individual provider Active NPI

Ciara Joy Athy, MA, LPC, ATR

  • Counselor
  • Lemont, IL
National Provider Identifier
1407558026
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.016868 Issued in IL
Practice address
63 Deborah Dr
Lemont, IL 60439-7402
Phone
(630) 418-9239
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.016868 IL Primary

Addresses

Primary practice location

63 Deborah Dr
Lemont, IL 60439-7402

Mailing address

63 Deborah Dr
Lemont, IL 60439-7402
Phone (630) 418-9239

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
178.016868ILMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1407558026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 DEBORAH DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397402",
            "telephone_number": "630-418-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 DEBORAH DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397402",
            "telephone_number": "630-418-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHY",
        "first_name": "CIARA",
        "middle_name": "JOY",
        "name_prefix": "Miss",
        "credential": "MA, LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.016868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.