Active NPI
Virginia Pesa, LCPC
- Mental Health Counselor
- Frankfort, IL
National Provider Identifier
1801212907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.007019
- Practice address
- 967 Walnut Ridge CT
Frankfort, IL 60423-2103 - Phone
- (815) 469-0123
- NPI assigned
- Mar 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.007019 | IL | Primary |
Addresses
Primary practice location
967 Walnut Ridge CT
Frankfort, IL 60423-2103
Mailing address
967 Walnut Ridge CT
Frankfort, IL 60423-2103
Phone (815) 469-0123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.007019 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1801212907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 WALNUT RIDGE CT",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232103",
"telephone_number": "815-469-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "967 WALNUT RIDGE CT",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232103",
"telephone_number": "815-469-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESA",
"first_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-13",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.007019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.