Individual provider Active NPI

Liza Guequierre, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1750599478
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008200 Issued in IL
Practice address
1415 W Rascher Ave
Chicago, IL 60640-0615
Phone
(312) 380-9581
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008200 IL Primary

Addresses

Primary practice location

1415 W Rascher Ave
Chicago, IL 60640-0615

Mailing address

1415 W Rascher Ave
Chicago, IL 60640-0615
Phone (312) 380-9581

Other names 1

  • Liza Van Voorhis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071008200ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Cognitive Behavioral Therapies, PLLC Clinical Current Accepting new patients

Locations

25 E Washington St
Ste 1312
Chicago, IL 60602
Phone (312) 380-9581

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1750599478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W RASCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400615",
            "telephone_number": "312-380-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W RASCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606400615",
            "telephone_number": "312-380-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEQUIERRE",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "VAN VOORHIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.