Urja Bhatt
Individual provider Active NPI Mental Health Counselor · Melrose Park, IL
NPI 1720701394 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1720701394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4419 W North Ave
Melrose Park, IL 60160-1021 - Phone
- (773) 777-7112
- NPI assigned
- Sep 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Outreach Services | Past |
Accepting new patients | |
| Youth Outreach Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
4419 W North Ave
Melrose Park, IL 60160-1021
Mailing address
4419 W North Ave
Melrose Park, IL 60160-1021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36-3297629 | Medicaid | IL |
Other providers in Melrose Park, IL
- Sarah Benning
- Senait Berhe
- Pamela M Berkowitz
- Nicolette Marie Bernhardt
- Bestride Transportation Inc.
- Christopher Andrew Biag
- Jonathan Bickmann
- Shuba Sadagopan Bindra
- Mariah Biscan
- Norman Eric Blase
All providers in Melrose Park, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.