Lillian Longoria

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

121626-11 Issued in IL

Practice address

10046 S Western Ave
Chicago, IL 60643-1926

Phone

(773) 429-0300

Fax

(773) 429-0200

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ucan

  • Professional Counselor
  • Chicago, IL
  • NPI 1003634726
  NPD (past)
• Ucan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1356385199
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1730636283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10046 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431926",
            "telephone_number": "773-429-0300",
            "fax_number": "773-429-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10046 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431926",
            "telephone_number": "773-429-0300",
            "fax_number": "773-429-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "121626-11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1356385199",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faraz Longi
• Maha Longi
• Adonye Longjohn, MBBS
• Melissa Longman
• Timothy John Longo, DDS
• Devyn Longstreet, LCPC
• Sureatha R Longstreet
• Alexa Nicole Longsworth, M.S CCC-SLP
• Amanda Longtin
• Gavin Brent Longway, CPNP-PC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.