Individual provider Active NPI

Isabella Arquilla

  • Counselor
  • Champaign, IL
National Provider Identifier
1669216586
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
100 Trade Centre Dr Ste 302
Champaign, IL 61820-7233
Phone
(217) 731-4638
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

100 Trade Centre Dr Ste 302
Champaign, IL 61820-7233

Mailing address

100 Trade Centre Dr Ste 302
Champaign, IL 61820-7233
Phone (217) 731-4638

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Counseling & Consulting Center, PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

100 Trade Centre Dr
Ste 302
Champaign, IL 61820
Phone (217) 731-4638

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1669216586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TRADE CENTRE DR STE 302",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207233",
            "telephone_number": "217-731-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRADE CENTRE DR STE 302",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207233",
            "telephone_number": "217-731-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARQUILLA",
        "first_name": "ISABELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.