Athena Neofotistos, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180017812 Issued in IL

Practice address

180 W Park Ave Ste 150
Elmhurst, IL 60126-3348

Phone

(630) 884-9021

NPI assigned

Apr 15, 2020

Last updated

Dec 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.athenaneofotistos@146897.advancedmd-direct.com

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.

• Edgewood Clinical Services, P.C.

  dba LifeStance

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  Medicare reassignment NPD

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1558980995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE STE 150",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263348",
            "telephone_number": "630-884-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE STE 150",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263348",
            "telephone_number": "630-884-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Saint Charles Rd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601263038",
            "country_code": "US",
            "telephone_number": "331-263-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEOFOTISTOS",
        "first_name": "ATHENA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180017812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Christin Nelson
• David Alan Nelson, DDS
• Jennifer Nelson, L.C.P.C., C.A.D.C.
• Lisa M Nelson, APRN
• Thomas Lee Nelson, D.D.S.
• Ulyana Nepokulchytska, MHS, PA-C
• Neurobehavioral Medicine Consultants LTD
• Nallely Abigail Nevarez
• New Age Services Corporation
• New Age Services Corporation

• Professional Counselor in Elmhurst, IL
• Providers in Elmhurst, 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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.