Active NPI
Andrea Raquel Pina
- Mental Health Counselor
- Tinley Park, IL
National Provider Identifier
1467283036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7851 185TH St Ste 203
Tinley Park, IL 60477-6503 - Phone
- (708) 963-0333
- NPI assigned
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7851 185TH St Ste 203
Tinley Park, IL 60477-6503
Mailing address
12809 E Playfield Dr
Crestwood, IL 60418-1104
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Lives Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
7851 185th St
Ste 203
Tinley Park, IL 60477
Phone (708) 963-0333
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": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1467283036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12809 E PLAYFIELD DR",
"city": "CRESTWOOD",
"state": "IL",
"postal_code": "604181104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7851 185TH ST STE 203",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776503",
"telephone_number": "708-963-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINA",
"first_name": "ANDREA",
"middle_name": "RAQUEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.