Individual provider Active NPI

Cinthya Valladares, LCPC

  • Professional Counselor
  • Aurora, IL
National Provider Identifier
1558965129
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013211 Issued in IL
Practice address
1256 Waterford Dr Ste 140
Aurora, IL 60504-4512
Phone
(630) 898-5322
NPI assigned
Nov 24, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180013211 IL Primary

Addresses

Primary practice location

1256 Waterford Dr Ste 140
Aurora, IL 60504-4512

Mailing address

2448 Roxbury LN
Montgomery, IL 60538-5036
Phone (630) 246-1289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113003024 IL Practitioner - Mental Health Counselor 8224566609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waterford Counseling and Psychological Services PCGroup PAC ID 7012144017, 14 clinicians

Practice addresses (Care Compare)

1256 Waterford Dr
Suite 140
Aurora, IL 60504-4512
Phone (630) 898-5322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180013211ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waterford Counseling and Psychological Services, PC Professional CurrentSince Nov 9, 2024 Accepting new patients

Locations

1256 Waterford Dr
Ste 140
Aurora, IL 60504
Phone (630) 898-5322

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1558965129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 ROXBURY LN",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605385036",
            "telephone_number": "630-246-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 WATERFORD DR STE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044512",
            "telephone_number": "630-898-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "CINTHYA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.