NPIMap

Organization Active NPI

Lu Rocha Counseling Services PC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1467938712
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LU ROCHA COUNSELING SERVICES PC
Practice address
4071 N Broadway St Ste 1
Chicago, IL 60613-2117
Phone
(773) 203-1328
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Lourdes Rocha, LCSWNPI 1497282701
Title
Founder, Psychotherapist
Phone
(773) 217-8571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4071 N Broadway St Ste 1
Chicago, IL 60613-2117

Mailing address

4071 N Broadway St Ste 1
Chicago, IL 60613-2117
Phone (773) 203-1328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201216000165 IL Part B Supplier - Clinic/Group Practice 9032521000 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Lu Rocha Counseling Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4071 N Broadway St
Chicago, IL 60613
Phone (773) 217-0124

4071 N Broadway St
Ste 1
Chicago, IL 60613
Phone (773) 203-1328

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1467938712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 N BROADWAY ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132117",
            "telephone_number": "773-203-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 N BROADWAY ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132117",
            "telephone_number": "773-203-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LU ROCHA COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "FOUNDER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-217-8571",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.