Elvita Kondili, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401017573 Issued in MI

Practice address

1 Parklane Blvd Ste 1210
Dearborn, MI 48126-2400

Phone

(704) 208-3358

NPI assigned

May 8, 2007

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilience Psychological Services PCGroup PAC ID 0547568891, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Resilience Psychological Services, PC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1629443536
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1689887531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E HARBORTOWN DR APT 708",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075011",
            "telephone_number": "704-776-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKLANE BLVD STE 1210",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262400",
            "telephone_number": "704-208-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDILI",
        "first_name": "ELVITA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theyazan Kohaif
• Samantha Kohler, PA
• Savannah Kohler
• Amanda Kokas
• Pavani Kolli, MD
• Morgan N Kopietz
• Rochelle Kopka, DPT
• Kellie Patricia Kornmiller, AU.D.
• Kelsey Ann Koss, DO
• Mary Kay Koss, RD, CDE

• Counselor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.