Individual provider Active NPI

Maritza Reyes, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1659965952
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.012935 Issued in IL
Practice address
5623 S Francisco Ave
Chicago, IL 60629-2112
Phone
(773) 259-5417
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.012935 IL Primary

Addresses

Primary practice location

5623 S Francisco Ave
Chicago, IL 60629-2112

Mailing address

5623 S Francisco Ave
Chicago, IL 60629-2112
Phone (773) 259-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316000712 IL Practitioner - Mental Health Counselor 4486137692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7440 Mintwood LN
Spring, TX 77379-1100

966 W 21St St
Chicago, IL 60608-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.012935ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alivio Medical Center, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Alivio Medical Center Inc CurrentSince Dec 30, 2025 Accepting new patients

Locations

966 W 21st St
Chicago, IL 60608
Phone (773) 254-1400

2355 S Western Ave
Chicago, IL 60608
Phone (773) 254-1400

Organizations & group practices 3

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1659965952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5623 S FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292112",
            "telephone_number": "773-259-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 S FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292112",
            "telephone_number": "773-259-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARITZA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.