Individual provider Active NPI

Claudia Talia-Twyman I, MA LPC

  • Professional Counselor
  • Vernon Hills, IL
National Provider Identifier
1760749949
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
24647 N Milwaukee Ave
Vernon Hills, IL 60061-1567
Phone
(847) 377-7950
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 IL Primary

Addresses

Primary practice location

24647 N Milwaukee Ave
Vernon Hills, IL 60061-1567

Mailing address

587 Ivy CT
Lake Forest, IL 60045-3232
Phone (847) 826-9569

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
I20240306001100 IL Practitioner - Mental Health Counselor 6608212238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Degrees Wellness and Coaching LLCGroup PAC ID 8426288978, 8 clinicians

Practice addresses (Care Compare)

225 E Deerpath
Suite 280
Lake Forest, IL 60045-1973
Phone (847) 796-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Imperfect Harmony Counseling LTD Professional CurrentSince May 21, 2023 Accepting new patients
360 Degrees Wellness & Coaching LLC CurrentSince Jan 10, 2024 Accepting new patients

Locations

495 N Riverside Dr
Ste 104
Gurnee, IL 60031
Phone (224) 440-7373

225 E Deerpath
Ste 280
Lake Forest, IL 60045
Phone (847) 234-4400

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1760749949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 IVY CT",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453232",
            "telephone_number": "847-826-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24647 N MILWAUKEE AVE",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611567",
            "telephone_number": "847-377-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIA-TWYMAN",
        "first_name": "CLAUDIA",
        "name_suffix": "I",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.