Individual provider Active NPI

Tania Trejo, LSW

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1548063373
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
150.110721 Issued in IL
Practice address
5680 S Archer Ave
Chicago, IL 60638-1659
Phone
(773) 709-9298
NPI assigned
Mar 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 150.110721 IL Primary

Addresses

Primary practice location

5680 S Archer Ave
Chicago, IL 60638-1659

Mailing address

4915 W Winnemac Ave
Chicago, IL 60630-2434
Phone (773) 709-9298

Other practice location 1

4915 W Winnemac Ave
Chicago, IL 60630-2434
Phone (773) 709-9298

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
150.110721ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1548063373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 W WINNEMAC AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302434",
            "telephone_number": "773-709-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606381659",
            "telephone_number": "773-709-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 W Winnemac Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606302434",
            "country_code": "US",
            "telephone_number": "773-709-9298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREJO",
        "first_name": "TANIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.110721",
            "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 Mar 28, 2025; 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.