Individual provider Active NPI

Cynthia Azucena Mendoza Lizarraga

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1750248753
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.015582 Issued in IL
Practice address
4715 W Adams St
Chicago, IL 60644-4635
Phone
(847) 312-1409
NPI assigned
Jan 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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 180.015582 IL Primary

Addresses

Primary practice location

4715 W Adams St
Chicago, IL 60644-4635

Mailing address

4715 W Adams St
Chicago, IL 60644-4635
Phone (847) 312-1409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.015582ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1750248753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444635",
            "telephone_number": "847-312-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444635",
            "telephone_number": "847-312-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA LIZARRAGA",
        "first_name": "CYNTHIA",
        "middle_name": "AZUCENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.015582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.