Individual provider Active NPI

Evelyn C Chenier

  • Professional Counselor
  • Waukegan, IL
National Provider Identifier
1629597968
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178003211 Issued in IL
Practice address
2504 Washington St Ste 300N
Waukegan, IL 60085-4983
Phone
(847) 770-3436
NPI assigned
Sep 19, 2017
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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 178003211 IL Primary

Addresses

Primary practice location

2504 Washington St Ste 300N
Waukegan, IL 60085-4983

Mailing address

2504 Washington St Ste 300N
Waukegan, IL 60085-4983

Other practice location 1

3004 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8200

Other practice location 2

3002 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8120

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
178003211ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Center of Lake County Current Accepting new patients
Family First Center of Lake County Professional CurrentSince Mar 3, 2024 Accepting new patients

Locations

2504 Washington St
Ste 300N
Waukegan, IL 60085
Phone (224) 421-0948

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1629597968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST STE 300N",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WASHINGTON ST STE 300N",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854983",
            "telephone_number": "847-770-3436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3004 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852321",
            "country_code": "US",
            "telephone_number": "847-377-8200",
            "fax_number": "847-984-5691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3002 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852321",
            "country_code": "US",
            "telephone_number": "847-377-8120",
            "fax_number": "847-984-5691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENIER",
        "first_name": "EVELYN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178003211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.