Individual provider Active NPI

Adriana Quevedo Ochoa

  • Professional Counselor
  • Springfield, IL
National Provider Identifier
1730898800
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.021879 Issued in IL
Practice address
3921 Pintail Dr
Springfield, IL 62711-6738
Phone
(217) 843-0290
NPI assigned
Nov 17, 2022
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.021879 IL Primary

Addresses

Primary practice location

3921 Pintail Dr
Springfield, IL 62711-6738

Mailing address

3921 Pintail Dr
Springfield, IL 62711-6738
Phone (217) 843-0290

Other practice location 1

1860 W Winchester Rd Ste 106
Libertyville, IL 60048-5312
Phone (847) 816-6335

Other practice location 2

1850 W Winchester Rd Ste 115
Libertyville, IL 60048-5357
Phone (847) 816-6335

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
I20251029000037 IL Practitioner - Mental Health Counselor 8224527437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Belfast, ME 04915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.021879ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ganesha Institute of Neurology and Psychiatry SC CurrentSince Aug 18, 2025 Accepting new patients
Ganesha Institute of Neurology and Psychiatry SC CurrentSince Aug 18, 2025 Accepting new patients

Locations

1850 W Winchester Rd
Ste 115
Libertyville, IL 60048
Phone (847) 816-6335

1860 W Winchester Rd
Ste 106
Libertyville, IL 60048
Phone (847) 599-0715

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1730898800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 PINTAIL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116738",
            "telephone_number": "217-843-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 PINTAIL DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116738",
            "telephone_number": "217-843-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 W Winchester Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485312",
            "country_code": "US",
            "telephone_number": "847-816-6335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 W Winchester Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485357",
            "country_code": "US",
            "telephone_number": "847-816-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEVEDO OCHOA",
        "first_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.021879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.