Active NPI
Alfredo Marulanda
- Counselor
- Chicago, IL
National Provider Identifier
1609456185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4872 N Kenmore Ave Apt 1
Chicago, IL 60640-3726 - Phone
- (312) 508-8676
- NPI assigned
- Apr 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4872 N Kenmore Ave Apt 1
Chicago, IL 60640-3726
Mailing address
5928 N Paulina St Apt 3
Chicago, IL 60660-3234
Phone (401) 663-4437
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colibri Counseling | Current | Accepting new patients | |
| Re-Motions Therapy Center, LLC | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1922700491
-
- Psychologist
- Chicago, IL
- NPI 1194330993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1609456185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5928 N PAULINA ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606603234",
"telephone_number": "401-663-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4872 N KENMORE AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606403726",
"telephone_number": "312-508-8676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARULANDA",
"first_name": "ALFREDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.