Individual provider Active NPI

Natiya Monique Lozano, LCPC, RDMT

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1558964908
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180013750 Issued in IL
Practice address
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Phone
(312) 279-9981
Fax
(312) 279-9981
NPI assigned
Nov 18, 2020
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180013750 IL Primary
Dance Therapist 225600000X 180013750 IL

Addresses

Primary practice location

30 N Michigan Ave Ste 424
Chicago, IL 60602-3844

Mailing address

30 N Michigan Ave
Chicago, IL 60602-3402
Phone (312) 279-9981

Other identifiers 1

IdentifierTypeStateIssuer
R-DMTOtherAMERICAN DANCE THERAPY ASSOCIATION

Other names 1

  • Mrs. Natiya M Reggans Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address MindBodyCoop.NatiyaLozanoReggan@147350.advancedmd-direct.com Health Information Exchange (HIE)
Direct Messaging Address MindBodyCoop.NatiyaLozanoReggan@147350.advancedmd-direct.com Health Information Exchange (HIE) Mind Body Co-op

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
180013750ILMDDance Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Co-Op Mental Health CurrentSince Oct 1, 2022 Accepting new patients
Mind Body Co-Op Professional CurrentSince Feb 27, 2022 Accepting new patients
Embodied Expressions Counseling, PLLC Professional Current Accepting new patients

Locations

30 N Michigan Ave
Ste 424
Chicago, IL 60602
Phone (312) 279-9981

Interoperability endpoints

  • Direct secure messaging: mindbodycoop.natiyalozanoreggan@147350.advancedmd-direct.com

Organizations & group practices 3

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": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1558964908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "312-279-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023844",
            "telephone_number": "312-279-9981",
            "fax_number": "312-279-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "NATIYA",
        "middle_name": "MONIQUE",
        "credential": "LCPC, RDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013750",
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "IL",
            "license": "180013750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DANCE THERAPY ASSOCIATION",
            "identifier": "R-DMT",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MindBodyCoop.NatiyaLozanoReggan@147350.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "AMD HIE address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 N Michigan Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MindBodyCoop.NatiyaLozanoReggan@147350.advancedmd-direct.com",
            "affiliation": "Y",
            "endpointDescription": "amd",
            "affiliationName": "Mind Body Co-op",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 N Michigan Ave Ste 424",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATIYA",
            "last_name": "REGGANS",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LPC, RDMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 13, 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.