Individual provider Active NPI

Mauricio Rodriguez Naime

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1710769021
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015894 Issued in IL
Practice address
4250 N Marine Dr Apt 2529
Chicago, IL 60613-1741
Phone
(312) 415-2375
NPI assigned
Oct 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL
Professional Counselor 101YP2500X 180.015894 IL Primary

Addresses

Primary practice location

4250 N Marine Dr Apt 2529
Chicago, IL 60613-1741

Mailing address

4250 N Marine Dr Apt 2529
Chicago, IL 60613-1741
Phone (312) 415-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.015894ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Health Centers CurrentSince May 19, 2024 Accepting new patients
Esperanza Health Centers CurrentSince May 19, 2024 Accepting new patients
Esperanza Health Centers Current Accepting new patients

Locations

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

2724 W Cermak Rd
Ste A
Chicago, IL 60608

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

1940 S Western Ave
#205
Chicago, IL 60608
Phone (631) 877-0913

4700 S California Ave
Chicago, IL 60632
Phone (708) 713-0078

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1710769021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR APT 2529",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131741",
            "telephone_number": "312-415-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR APT 2529",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131741",
            "telephone_number": "312-415-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ NAIME",
        "first_name": "MAURICIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.