Individual provider Active NPI

Cynthia Vargas Mireles, LSW

  • Social Worker
  • Park Ridge, IL
National Provider Identifier
1427701341
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.106530 Issued in IL
Practice address
350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262
Phone
(847) 656-5259
Fax
(847) 656-5201
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.106530 IL Primary

Addresses

Primary practice location

350 S Northwest Hwy Ste 300
Park Ridge, IL 60068-4262

Mailing address

914 North Blvd Apt 2D
Oak Park, IL 60301-1248
Phone (708) 601-6398

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250806002632 IL Practitioner - Clinical Social Worker 1759899016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bellosa Counseling, LLC CurrentSince Jul 10, 2025 Accepting new patients

Locations

1580 N Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 220-4977

350 S Northwest Hwy
Ste 300
Park Ridge, IL 60068
Phone (224) 361-3301

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1427701341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 NORTH BLVD APT 2D",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011248",
            "telephone_number": "708-601-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-656-5259",
            "fax_number": "847-656-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS MIRELES",
        "first_name": "CYNTHIA",
        "name_prefix": "Miss",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.106530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.