Active NPI
Mena Edwards
- Counselor
- Shorewood, IL
National Provider Identifier
1760296602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 611 W Jefferson St Ste 201
Shorewood, IL 60404-3772 - Phone
- (630) 281-2496
- Fax
- (630) 839-9138
- NPI assigned
- Feb 3, 2025
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | IL | Primary |
Addresses
Primary practice location
611 W Jefferson St Ste 201
Shorewood, IL 60404-3772
Mailing address
809 Bailey Dr
Joliet, IL 60404-8615
Phone (815) 690-7571
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Works | Past | Accepting new patients |
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.
-
- Professional Counselor
- Naperville, IL
- NPI 1477847945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1760296602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 BAILEY DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604048615",
"telephone_number": "815-690-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W JEFFERSON ST STE 201",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604043772",
"telephone_number": "630-281-2496",
"fax_number": "630-839-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-03",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shorewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.