Individual provider Active NPI

Keaton James El-Talabani, LCSW

  • Clinical Social Worker
  • Rolling Meadows, IL
National Provider Identifier
1609618669
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026888 Issued in IL
Practice address
1600 Gold Rd
Suite 1200
Rolling Meadows, IL 60008-4263
Phone
(847) 220-7629
NPI assigned
Jun 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.026888 IL Primary

Addresses

Primary practice location

1600 Gold Rd
Suite 1200
Rolling Meadows, IL 60008-4263

Mailing address

1012 Raccoon Cir
Bourbonnais, IL 60914-9330
Phone (815) 592-8193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • 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
I20250424000996 IL Practitioner - Clinical Social Worker 1254857139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keaton El-Talabani Counseling, PLLC Clinical CurrentSince Sep 8, 2025 Accepting new patients
Clarity Clinic PLLC Clinical CurrentSince Mar 31, 2025 Accepting new patients

Locations

1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1609618669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 RACCOON CIR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149330",
            "telephone_number": "815-592-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GOLD RD",
            "address_2": "SUITE 1200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084263",
            "telephone_number": "847-220-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-TALABANI",
        "first_name": "KEATON",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.