Ellen Sotoloff, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.005517 Issued in IL

Practice address

495 Central Ave
Ste 203
Northfield, IL 60093-3044

Phone

(847) 251-1046

Fax

(847) 789-7172

NPI assigned

Mar 5, 2015

Last updated

Mar 20, 2015By 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

State licenses

Practice roles

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.

• Child Psychiatric Services, LTD.

  • Clinical Neuropsychologist
  • Northfield, IL
  • NPI 1386818011
  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1558754226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 MAGNOLIA LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354217",
            "telephone_number": "847-251-1046",
            "fax_number": "847-789-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL AVE",
            "address_2": "STE 203",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933044",
            "telephone_number": "847-251-1046",
            "fax_number": "847-789-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOLOFF",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.005517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Northfield, IL
• Providers in Northfield, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.