Individual provider Active NPI

Eliza Marotte, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1598362865
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013020 Issued in IL
Practice address
1125 W Lunt Ave
Chicago, IL 60626-3531
Phone
(312) 414-4907
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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 180.013020 IL Primary

Addresses

Primary practice location

1125 W Lunt Ave
Chicago, IL 60626-3531

Mailing address

1125 W Lunt Ave Apt 301
Chicago, IL 60626-3531
Phone (312) 414-4907

Other practice location 1

601 Skokie Blvd Ste 402
Northbrook, IL 60062-2820
Phone (847) 607-1589 ext. 108

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL admin@cpwtherapy.com Direct
Other URL admin@bmcpsychotherapy.com Direct

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
180.013020ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Minds Counseling PLLC Professional CurrentSince Apr 10, 2022 Accepting new patients
Center for Psychology and Wellness, P.C. CurrentSince Oct 1, 2024 Accepting new patients

Locations

601 Skokie Blvd
Ste 402
Northbrook, IL 60062
Phone (847) 607-1589

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1598362865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W LUNT AVE APT 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263531",
            "telephone_number": "312-414-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W LUNT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263531",
            "telephone_number": "312-414-4907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Skokie Blvd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622820",
            "country_code": "US",
            "telephone_number": "847-607-1589 x108",
            "fax_number": "847-999-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROTTE",
        "first_name": "ELIZA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@cpwtherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 Skokie Blvd Ste 402",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@bmcpsychotherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1125 W Lunt Ave Apt 301",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606263531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 2, 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.