Active NPI
Keaton James El-Talabani, LCSW
- Clinical Social Worker
- Rolling Meadows, IL
National Provider Identifier
1609618669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.026888
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keaton El-Talabani Counseling, PLLC | Clinical | Current | Accepting new patients |
| Clarity Clinic PLLC | Clinical | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
Clinical
-
- Clinical Social Worker
- Bourbonnais, IL
- NPI 1881573004
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.