Individual provider Active NPI

Elena V Stoycheva, LCSW

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1730854845
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2144 W Devon Ave Ste 1W
Chicago, IL 60659-2165
Phone
(773) 754-9777
Fax
(773) 739-9080
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

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

Addresses

Primary practice location

2144 W Devon Ave Ste 1W
Chicago, IL 60659-2165

Mailing address

2144 W Devon Ave Ste 1W
Chicago, IL 60659-2165
Phone (773) 739-9079

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231019001604 IL Practitioner - Clinical Social Worker 4284080706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbe Senior Medical Illinois PC CurrentSince Aug 29, 2023 Accepting new patients

Locations

225 W Washington St
Ste 1700
Chicago, IL 60606
Phone (234) 200-4220

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

550 Warrenville Rd
Ste 200
Lisle, IL 60532
Phone (312) 776-2422

Organizations & group practices 1

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1730854845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 W DEVON AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592165",
            "telephone_number": "773-739-9079",
            "fax_number": "773-739-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 W DEVON AVE STE 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592165",
            "telephone_number": "773-754-9777",
            "fax_number": "773-739-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOYCHEVA",
        "first_name": "ELENA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.