Ralph Yaniz, MSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180000406 Issued in IL

Practice address

3330 W 177TH St
1F
Hazel Crest, IL 60429-2184

Phone

(708) 745-3040

Fax

(708) 799-1889

NPI assigned

Jun 12, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baal Perazim Wellness, Inc

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1215403530

  IL

  Medicare reassignment NPD
• Family Service Center of Wilmette Glenview Northbrook Kenilworth

  • Marriage & Family Therapist
  • Northfield, IL
  • NPI 1750396289

  IL

  Medicare reassignment NPD
• Jamie Lafevers, LLC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1255098380
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1427439645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623758",
            "telephone_number": "708-460-9833",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "address_2": "1F",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292184",
            "telephone_number": "708-745-3040",
            "fax_number": "708-799-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANIZ",
        "first_name": "RALPH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nekeia M Wilson, LCSW
• Brooke Wold, DMS, PA-C
• Carol Womack, PROVIDER
• Womens Wellness World SC
• Elena Brianne Woulfe, OTR/L
• Amin Yassin, MD
• Hanbit Yeon, PT
• Susan E Zeitner, LCSW
• Wondwossen M. Zenebe, MD

• All providers in Hazel Crest, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.