Indigo Ray, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INDIGO RAY, LLC

Practice address

3451 N Kedzie Ave
Chicago, IL 60618-5619

Phone

(773) 255-4454

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Rainn VillalpandoNPI 1053078188

Title

Founder

Phone

(773) 255-4454

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rainn Villalpando

  • Professional Counselor
  • Chicago, IL
  • NPI 1053078188
  NPD Authorized official

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1457138216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185619",
            "telephone_number": "773-255-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO RAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "VILLALPANDO",
        "authorized_official_first_name": "RAINN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-255-4454"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.