Individual provider Active NPI

Sandra Rodriguez-Radja, LCPC

  • Professional Counselor
  • Oak Lawn, IL
National Provider Identifier
1427593268
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178012652 Issued in IL
Practice address
9306 Parkside Ave
Oak Lawn, IL 60453-2339
Phone
(708) 674-0422
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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 178012652 IL Primary

Addresses

Primary practice location

9306 Parkside Ave
Oak Lawn, IL 60453-2339

Mailing address

9306 Parkside Ave
Oak Lawn
Oak Lawn, IL 60453-2339
Phone (708) 674-0422

Other names 1

  • Mrs. Sandra Rodriguez Radja Professional name

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

State licenses

LicenseStateTypeSpecialty
178012652ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionaid Counseling, LLC Professional CurrentSince Aug 1, 2021 Accepting new patients
Olive Branch Counseling Associates, Inc. Professional Past Accepting new patients
Olive Branch Counseling Associates, Inc. PastSince Jun 1, 2006 Accepting new patients

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1427593268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 PARKSIDE AVE",
            "address_2": "OAK LAWN",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532339",
            "telephone_number": "708-674-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9306 PARKSIDE AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532339",
            "telephone_number": "708-674-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-RADJA",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178012652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "RODRIGUEZ RADJA",
            "prefix": "MRS.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.