Colleen Catherine Vargas, LCPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010789 Issued in IL

Practice address

3942 W North Ave
Chicago, IL 60647-4639

Phone

(773) 564-9070

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Journey'S Community Center Inc.

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1427427376

  Professional

  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1760961379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474639",
            "telephone_number": "773-564-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474639",
            "telephone_number": "773-564-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5453 W Diversey Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606391413",
            "country_code": "US",
            "telephone_number": "773-564-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "COLLEEN",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "33072",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Anne Vargas, M.D.
• Angelo Gregory Vargas, PT, DPT, OCS
• Arlyne Grace F Vargas
• Beslymar Vargas
• Cassandra Lee Vargas, M.A., L.P.C., N.C.C.
• Edgardo Roberto Vargas, DC
• Heysser Vargas
• Jasmin Serena Vargas, MD
• Kendra Vargas, MA
• Keziah M Vargas, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.