Active NPI
Iaroslava Maksymchuk
- Mental Health Counselor
- Schaumburg, IL
National Provider Identifier
1760182190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5785323
- Practice address
- 1900 E Golf Rd Ste 950
Schaumburg, IL 60173-5034 - Phone
- (847) 458-4800
- Fax
- (630) 332-8151
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5785323 | ZZ | Primary |
Addresses
Primary practice location
1900 E Golf Rd Ste 950
Schaumburg, IL 60173-5034
Mailing address
801 W Algonquin Rd Unit 7575
Algonquin, IL 60102-1026
Phone (847) 458-4800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5785323 | ZZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Care for Women | Mental Health | Current | Accepting new patients |
Locations
801 W Algonquin Rd
Unit 7575
Algonquin, IL 60102
Phone (847) 458-4800
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": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1760182190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W ALGONQUIN RD UNIT 7575",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601021026",
"telephone_number": "847-458-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E GOLF RD STE 950",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735034",
"telephone_number": "847-458-4800",
"fax_number": "630-332-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKSYMCHUK",
"first_name": "IAROSLAVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ZZ",
"license": "5785323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.