Individual provider Active NPI

Carolina Rada, LCPC

  • Professional Counselor
  • Berwyn, IL
National Provider Identifier
1477080984
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010455 Issued in IL
Practice address
3245 Grove Ave Ste 104
Berwyn, IL 60402-3475
Phone
(708) 390-0222
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180010455 IL Primary

Addresses

Primary practice location

3245 Grove Ave Ste 104
Berwyn, IL 60402-3475

Mailing address

3245 Grove Ave Ste 104
Berwyn, IL 60402-3475
Phone (708) 390-0222

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

LicenseStateTypeSpecialty
180010455ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rada Counseling PLLC Current Accepting new patients

Locations

3245 Grove Ave
Ste 104
Berwyn, IL 60402
Phone (708) 390-0222

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1477080984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE STE 104",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023475",
            "telephone_number": "708-390-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE STE 104",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023475",
            "telephone_number": "708-390-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA",
        "first_name": "CAROLINA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.