Individual provider Active NPI

Yael Tobin, LPC

  • Counselor
  • Northbrook, IL
National Provider Identifier
1639780208
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.016113 Issued in IL
Practice address
3000 Dundee Rd Ste 205
Northbrook, IL 60062-2432
Phone
(847) 525-7074
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.016113 IL Primary

Addresses

Primary practice location

3000 Dundee Rd Ste 205
Northbrook, IL 60062-2432

Mailing address

6515 N Mozart St Apt B
Chicago, IL 60645-4303
Phone (314) 306-4798

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
178.016113ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cutting Edge Counseling of the North Shore CurrentSince Aug 23, 2020 Accepting new patients

Locations

3000 Dundee Rd
Ste 205
Northbrook, IL 60062
Phone (847) 306-6477

Organizations & group practices 1

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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1639780208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 N MOZART ST APT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454303",
            "telephone_number": "314-306-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD STE 205",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622432",
            "telephone_number": "847-525-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "YAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.016113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.