Active NPI
Good Life Mental Health
- Counselor
- Evanston, IL
National Provider Identifier
1801661392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- GOOD LIFE MENTAL HEALTH
- Practice address
- 910 Washington St Apt 1B
Evanston, IL 60202-2238 - Phone
- (630) 484-0074
- NPI assigned
- Nov 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vanessa De Leon, LCPC, BC-DMT
- Title
- Owner
- Phone
- (630) 484-0074
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
910 Washington St Apt 1B
Evanston, IL 60202-2238
Mailing address
910 Washington St Apt 1B
Evanston, IL 60202-2238
Phone (630) 484-0074
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1215490651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748822400000",
"number": "1801661392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 WASHINGTON ST APT 1B",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022238",
"telephone_number": "630-484-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WASHINGTON ST APT 1B",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022238",
"telephone_number": "630-484-0074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LIFE MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-484-0074",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCPC, BC-DMT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.