Tina Chollampel, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.016978 Issued in IL

Practice address

1400 Renaissance Dr Ste 405
Park Ridge, IL 60068-1329

Phone

(847) 668-4295

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

Sex

Female

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 Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Family Services

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1497194070
  NPD
• North Shore Family Services, LLC

  • Clinical Social Worker
  • Northbrook, IL
  • NPI 1427678408
  NPD

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1548971179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624043",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RENAISSANCE DR STE 405",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681329",
            "telephone_number": "847-668-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLLAMPEL",
        "first_name": "TINA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy G Chiu, DC
• Michele E. Cho-Dorado, M.D.
• Eric Cho, MD
• Daniel Kyuyoung Choi, MD, MS
• Joy M Chojnwoski, RN
• Siu Yung Choy, D.O.
• Kelli Christ
• Christina M Christie, PT
• Christine T Bellosa Ma LCPC Incorporated (Bellosa Counseling)
• Argyrios M Christofidis, PHD

• Professional Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.