Individual provider Active NPI

Daniela Evelyne Zermeno, LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1770271082
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.018929 Issued in IL
Practice address
4669 N Manor Ave
Chicago, IL 60625-3717
Phone
(773) 345-8330
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.018929 IL Primary
Counselor 101Y00000X 178.018929 IL

Addresses

Primary practice location

4669 N Manor Ave
Chicago, IL 60625-3717

Mailing address

4748 N Sacramento Ave Apt 1S
Chicago, IL 60625-4319
Phone (773) 987-8217

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

LicenseStateTypeSpecialty
178.018929ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Josh Singh, PHD 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.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1770271082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 N SACRAMENTO AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254319",
            "telephone_number": "773-987-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 N MANOR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253717",
            "telephone_number": "773-345-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERMENO",
        "first_name": "DANIELA",
        "middle_name": "EVELYNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.018929",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.018929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.