Addi Lin Ceja, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011182 Issued in IL

Practice address

1500 E Lincoln Hwy Ste 1
Dekalb, IL 60115-3990

Phone

(779) 777-7933

NPI assigned

Aug 22, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Life Solutions: Integrative Healing & Well Being LLC

  • Mental Health Counselor
  • Dekalb, IL
  • NPI 1720462799

  Professional

  NPD

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1548715386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "779-777-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LINCOLN HWY STE 1",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153990",
            "telephone_number": "779-777-7933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611042315",
            "country_code": "US",
            "telephone_number": "815-489-4123",
            "fax_number": "815-967-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEJA",
        "first_name": "ADDI",
        "middle_name": "LIN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180011182",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Casas I, MS, LAT, ATC
• Laura Marie Caskey, ATC
• Carrie Casper
• Maria Mildred Castillo, PT
• Nancy G Castro, PT
• Alexia L Ceniseros, APRN, CNP
• Nicole Brittany Chapman, FNP-C
• Jennifer Paige Charhut
• Arthur John Chatellier III, DC
• Ashley Chatham

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.