Individual provider Active NPI

Maria R Valdez, LCPC

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1689882946
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005270 Issued in IL
Practice address
2340 S Highland Ave
Lombard, IL 60148-5371
Phone
(630) 261-1210
NPI assigned
May 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 180005270 IL Primary

Addresses

Primary practice location

2340 S Highland Ave
Lombard, IL 60148-5371

Mailing address

361 N Spring St
Elgin, IL 60120-4161
Phone (847) 560-0221

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
I20240906000748 IL Practitioner - Mental Health Counselor 3072053990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Clinical Services PCGroup PAC ID 0042374720, 18 clinicians

Practice addresses (Care Compare)

2340 S Highland Ave
Suite 300
Lombard, IL 60148-5397
Phone (630) 261-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180005270ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Clinical Services PC CurrentSince Jun 24, 2024 Accepting new patients

Locations

2340 S Highland Ave
Ste 300
Lombard, IL 60148
Phone (630) 261-1210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9265/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maria.valdez.1@9265.direct.athenahealth.com

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, 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": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689882946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N SPRING ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204161",
            "telephone_number": "847-560-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-261-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "MARIA",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.