Active NPI
Akilah Yates
- Professional Counselor
- Waukegan, IL
National Provider Identifier
1548892417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.012788
- Practice address
- 2400 Belvidere Rd
Waukegan, IL 60085-6165 - Phone
- (847) 377-8800
- NPI assigned
- Feb 10, 2020
- Last updated
- Aug 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.012788 | IL | |
| Professional Counselor | 101YP2500X | 180.012788 | IL | Primary |
Addresses
Primary practice location
2400 Belvidere Rd
Waukegan, IL 60085-6165
Mailing address
2549 Waukegan Rd Ste 543
Bannockburn, IL 60015-1569
Phone (847) 220-4877
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.012788 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing From Within | Mental Health | Current | Accepting new patients |
Locations
2549 Waukegan Rd
Bannockburn, IL 60015
Phone (833) 831-8163
Interoperability endpoints
- akilah.yates.p1@direct.lakecountyil.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1548892417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 WAUKEGAN RD STE 543",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151569",
"telephone_number": "847-220-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BELVIDERE RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600856165",
"telephone_number": "847-377-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "AKILAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.012788",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.012788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.