Individual provider Active NPI

Carli Cinquegrani, LPC-INTERN

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1528755220
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.020106 Issued in IL
Practice address
2401 W Ohio St
Chicago, IL 60612-1266
Phone
(630) 812-8424
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.020106 IL Primary

Addresses

Primary practice location

2401 W Ohio St
Chicago, IL 60612-1266

Mailing address

414 Plaza Dr Ste 301
Westmont, IL 60559-5508
Phone (630) 812-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

414 Plaza Dr
Suite 301
Westmont, IL 60559-5508

6652 N Glenwood Ave
Apt 2N
Chicago, IL 60626-4785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.020106ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1528755220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PLAZA DR STE 301",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595508",
            "telephone_number": "630-812-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W OHIO ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121266",
            "telephone_number": "630-812-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINQUEGRANI",
        "first_name": "CARLI",
        "credential": "LPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.020106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.