Edward Pagella, M.S., C.R.C., LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.000512

Practice address

24402 W Lockport St Ste 108
Plainfield, IL 60544-4280

Phone

(630) 544-7003

NPI assigned

May 18, 2023

Last updated

May 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1538850623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26232 OAKCREST LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852655",
            "telephone_number": "630-544-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT ST STE 108",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444280",
            "telephone_number": "630-544-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGELLA",
        "first_name": "EDWARD",
        "credential": "M.S., C.R.C., LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "180.000512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owl Street Therapy PC
• Blessing Owoeye
• Amanda Paben, M.A.
• Chelsea Pacholski
• Glenn B. Padilla, X-RAY TECH
• Michelle Pagella
• Pain and Wellness Group LTD
• Painmed Centers
• Painmed Centers, PC
• Michelle Renee Painter, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.