Individual provider Active NPI

Luckia Atsaves

  • Counselor
  • Northbrook, IL
National Provider Identifier
1689339491
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2150 Valencia Dr Apt 114
Northbrook, IL 60062-7034
Phone
(224) 245-9793
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

2150 Valencia Dr Apt 114
Northbrook, IL 60062-7034

Mailing address

2150 Valencia Dr Apt 114
Northbrook, IL 60062-7034
Phone (224) 245-9793

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LucyA@in2greattherapy.com Direct

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

Interoperability endpoints

  • Direct secure messaging: lucya@in2greattherapy.com

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1689339491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 VALENCIA DR APT 114",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627034",
            "telephone_number": "224-245-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 VALENCIA DR APT 114",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627034",
            "telephone_number": "224-245-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATSAVES",
        "first_name": "LUCKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LucyA@in2greattherapy.com",
            "affiliation": "N",
            "endpointDescription": "LucyA@in2greattherapy.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LucyA@in2greattherapy.com",
            "address_1": "2150 Valencia Dr Apt 114",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600627034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 5, 2021; 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.