Raymundo Bernardo Tad-Y Jr., LCPC, NCE, NCSC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009788 Issued in IL

Practice address

447 Kilkenny CT
Carol Stream, IL 60188-6013

Phone

(847) 962-5642

NPI assigned

Mar 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1710480850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 KILKENNY CT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601886013",
            "telephone_number": "847-962-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 KILKENNY CT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601886013",
            "telephone_number": "847-962-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAD-Y",
        "first_name": "RAYMUNDO",
        "middle_name": "BERNARDO",
        "name_suffix": "Jr.",
        "credential": "LCPC, NCE, NCSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "255467",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.