Radostina L Yakimova, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007482 Issued in IL

Practice address

3329 75TH St
Woodridge, IL 60517-2700

Phone

(630) 964-9400

Fax

(630) 964-9375

NPI assigned

Jul 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  Medicare reassignment Care Compare group NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Trinity Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Joliet, IL
  • NPI 1003085770
  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1528346293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 75TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172700",
            "telephone_number": "630-964-9400",
            "fax_number": "630-964-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 75TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172700",
            "telephone_number": "630-964-9400",
            "fax_number": "630-964-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKIMOVA",
        "first_name": "RADOSTINA",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodward Medical Center, LTD
• Wow Vision PC
• Steffianna Wyatt, RN
• Courtney Wyeth, RN
• Santina Yacoub
• Unbreen Yasin, O.D.
• Esmond K Yen, MD
• Nicole R Young
• Adriana Zabrosky, D.C.
• Gloria Jean Zangara

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.