Individual provider Active NPI

Tania E Nunez, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1790231538
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.010899 Issued in IL
Practice address
4952 W Roscoe St Unit 1
Chicago, IL 60641-4337
Phone
(773) 954-3030
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.013120 IL
Professional Counselor 101YP2500X 178.010899 IL Primary

Addresses

Primary practice location

4952 W Roscoe St Unit 1
Chicago, IL 60641-4337

Mailing address

4952 W Roscoe St Unit 1
Chicago, IL 60641-4337
Phone (773) 954-3030

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
I20240404000180 IL Practitioner - Mental Health Counselor 2567800931 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians
Access Community Health NetworkGroup PAC ID 9537076112, 182 clinicians

Practice addresses (Care Compare)

3976 N Avondale Ave
FL 2
Chicago, IL 60641-2900
Phone (630) 428-7890

6240 W 55TH St
Doctors Medical Center
Chicago, IL 60638-2531
Phone (773) 284-2200

7450 W 63Rd St
Des Plaines Valley Family Health Center
Summit, IL 60501-1816
Phone (708) 458-0757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.010899ILMDProfessional Counselor
180.013120ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Health Centers CurrentSince Feb 20, 2024 Accepting new patients
Esperanza Health Centers CurrentSince Feb 20, 2024 Accepting new patients
Access Community Health Network CurrentSince Oct 24, 2024 Accepting new patients
Resilient Living, LLC Professional CurrentSince Feb 27, 2022 Accepting new patients
Access Community Health Network Current Accepting new patients

Locations

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

4700 S California Ave
Chicago, IL 60632
Phone (708) 713-0078

600 W Fulton St
Ste 300
Chicago, IL 60661

7450 W 63rd St
Summit Argo, IL 60501
Phone (708) 458-0757

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1790231538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 W ROSCOE ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414337",
            "telephone_number": "773-954-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 W ROSCOE ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414337",
            "telephone_number": "773-954-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "TANIA",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013120",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.