Johanna Ivette Melgoza, CRC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

17 N Wabash Ave Ste 515
Chicago, IL 60602-4818

Phone

(313) 312-5010

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Third Eye Therapy Chicago LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1750924775

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1629736046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 N OAKLEY AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184812",
            "telephone_number": "773-877-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N WABASH AVE STE 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024818",
            "telephone_number": "313-312-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGOZA",
        "first_name": "JOHANNA",
        "middle_name": "IVETTE",
        "credential": "CRC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irma M Melgar
• Karol Melgar
• Rita Melgarejo-Glaab, MD
• Wendy Melgarejo
• Estela Melgoza, LCPC, PHD
• James B Melia, M.D.
• Jiri George Melich, MD
• Lauren Melidosian-Schreiner, MD
• Hector Melin Aldana, M.D.
• Melinda McDonald, LMFT PLLC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.