Individual provider Active NPI

Andrea Chaitin-Richards, MA LCPC

  • Mental Health Counselor
  • Tinley Park, IL
National Provider Identifier
1437168952
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
16325 Harlem Ave
Suite 200
Tinley Park, IL 60477-2509
Phone
(708) 429-6999
Fax
(708) 429-6909
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

16325 Harlem Ave
Suite 200
Tinley Park, IL 60477-2509

Mailing address

16325 Harlem Ave
Suite 200
Tinley Park, IL 60477-2509
Phone (708) 429-6999

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
I20260430002678 IL Practitioner - Mental Health Counselor 6406294719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 Stephen St
Lemont, IL 60439-3660
Phone (708) 586-9545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-004289ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Drea Richards Counseling, Inc Current Accepting new patients

Locations

119 Stephen St
Lemont, IL 60439
Phone (630) 257-5757

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1437168952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 HARLEM AVE",
            "address_2": "SUITE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772509",
            "telephone_number": "708-429-6999",
            "fax_number": "708-429-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 HARLEM AVE",
            "address_2": "SUITE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772509",
            "telephone_number": "708-429-6999",
            "fax_number": "708-429-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAITIN-RICHARDS",
        "first_name": "ANDREA",
        "credential": "MA LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.