Individual provider Active NPI

Hector R Zavala, LCPC, LMHC

  • Professional Counselor
  • Highland, IN
National Provider Identifier
1679852255
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008993 Issued in IL
Practice address
3145 45TH St Ste a
Highland, IN 46322-3292
Phone
(331) 277-8585
NPI assigned
Aug 12, 2011
Last updated
Feb 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180008993 IL Primary

Addresses

Primary practice location

3145 45TH St Ste a
Highland, IN 46322-3292

Mailing address

1803 Norwood Dr
Griffith, IN 46319-1131
Phone (630) 750-6896

Other practice location 1

1658 N Milwaukee Ave # 3671
Chicago, IL 60647-6905
Phone (872) 365-5086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250102001184 IN Practitioner - Mental Health Counselor 1759816747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3145 45TH St
Suite a
Highland, IN 46322-3292
Phone (331) 277-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180008993ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light of Hope Wellness and Counseling CurrentSince Sep 19, 2024 Accepting new patients
Willow & Leaf PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

3145 45th St
Ste A
Highland, IN 46322
Phone (331) 277-8585

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1679852255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 NORWOOD DR",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191131",
            "telephone_number": "630-750-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 45TH ST STE A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223292",
            "telephone_number": "331-277-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1658 N Milwaukee Ave # 3671",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606476905",
            "country_code": "US",
            "telephone_number": "872-365-5086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "HECTOR",
        "middle_name": "R",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.