Active NPI
Nancy Magana, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1457918955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180012238
- Practice address
- 3860 W Ogden Ave
Chicago, IL 60623-2460 - Phone
- (872) 588-3000
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180012238 | IL | Primary |
Addresses
Primary practice location
3860 W Ogden Ave
Chicago, IL 60623-2460
Mailing address
1501 S California Ave # 5
Chicago, IL 60608-1732
Phone (773) 257-4030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180012238 | Other | IL | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180012238 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1457918955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S CALIFORNIA AVE # 5",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081732",
"telephone_number": "773-257-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 W OGDEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606232460",
"telephone_number": "872-588-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGANA",
"first_name": "NANCY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180012238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "180012238",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.