Active NPI
Willie Chavez, LPC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1609685403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.020609
- Practice address
- 6815 W 63Rd St
Chicago, IL 60638 - Phone
- (708) 304-3010
- NPI assigned
- Jan 6, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.020609 | IL | Primary |
Addresses
Primary practice location
6815 W 63Rd St
Chicago, IL 60638
Mailing address
1631 Wesley
Berwyn, IL 60402
Phone (708) 998-1533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.020609 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Behavior LLC | Current | Accepting new patients | |
| Mindful Behavior LLC | Current | Accepting new patients |
Locations
6815 W 63rd St
Chicago, IL 60638
Phone (708) 979-6266
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.
-
- Counseling Psychologist
- Chicago, IL
- NPI 1558065300
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1780407189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1609685403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 WESLEY",
"city": "BERWYN",
"state": "IL",
"postal_code": "60402",
"telephone_number": "708-998-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 W 63RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60638",
"telephone_number": "708-304-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "WILLIE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.020609",
"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 Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.