Active NPI
Luz E Mendez, L.C.P.C.
- Professional Counselor
- Chicago, IL
National Provider Identifier
1659448819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180005671
- Practice address
- 3166 N Lincoln Ave Ste 224
Chicago, IL 60657-3119 - Phone
- (131) 290-9100
- NPI assigned
- Nov 30, 2006
- Last updated
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180005671 | IL | Primary |
Addresses
Primary practice location
3166 N Lincoln Ave Ste 224
Chicago, IL 60657-3119
Mailing address
5617 S Melvina Ave
Chicago, IL 60638-3505
Phone (773) 582-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001636201 | Other | IL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 180005671 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1659448819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5617 S MELVINA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606383505",
"telephone_number": "773-582-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3166 N LINCOLN AVE STE 224",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573119",
"telephone_number": "131-290-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "LUZ",
"middle_name": "E",
"credential": "L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180005671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001636201",
"state": "IL"
}
],
"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 Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.