Individual provider Active NPI

Vivian Estrada, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1801787395
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180016994 Issued in IL
Practice address
1715 E 95TH St
Chicago, IL 60617-4708
Phone
(773) 768-4437
NPI assigned
Jul 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180016994 IL Primary

Addresses

Primary practice location

1715 E 95TH St
Chicago, IL 60617-4708

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 352-1515

Other practice location 1

5201 S Nagle Ave
Chicago, IL 60638-1338
Phone (773) 679-4313

Other practice location 2

3046 127th St
Blue Island, IL 60406-1827
Phone (708) 377-7920

Other practice location 3

1401 N Western Ave
Chicago, IL 60622-1735
Phone (708) 292-7000

Other practice location 4

15901 Halsted St
Harvey, IL 60426-5222
Phone (708) 271-9782

Other practice location 5

850 W 63rd St
Chicago, IL 60621-1902
Phone (773) 377-7304

Other practice location 6

4318 S State St
Chicago, IL 60609-3701
Phone (773) 285-9304

Other practice location 7

3348 W 87th St
Chicago, IL 60652-3767
Phone (773) 776-4471

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
I20250826000870 IL Practitioner - Mental Health Counselor 3274033048 Reassigns benefits to 1 organization

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
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

1715 E 95TH St
Chicago, IL 60617-4708
Phone (312) 733-9730

4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone (855) 625-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180016994ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Aug 18, 2025 Accepting new patients
Shift Counseling, P.C. Past Accepting new patients

Locations

3046 Burr Oak Ave
Blue Island, IL 60406
Phone (708) 377-7920

4318 S State St
Chicago, IL 60609
Phone (773) 285-9304

1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

850 W 63rd St
Chicago, IL 60621
Phone (773) 377-7304

3348 W 87th St
Chicago, IL 60652
Phone (773) 776-4471

1401 N Western Ave
Chicago, IL 60622
Phone (708) 292-7000

15901 Halsted St
Harvey, IL 60426
Phone (708) 271-9782

Organizations & group practices 2

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": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1801787395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174708",
            "telephone_number": "773-768-4437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 S Nagle Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606381338",
            "country_code": "US",
            "telephone_number": "773-679-4313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3046 127th St",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604061827",
            "country_code": "US",
            "telephone_number": "708-377-7920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606221735",
            "country_code": "US",
            "telephone_number": "708-292-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15901 Halsted St",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604265222",
            "country_code": "US",
            "telephone_number": "708-271-9782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606211902",
            "country_code": "US",
            "telephone_number": "773-377-7304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4318 S State St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606093701",
            "country_code": "US",
            "telephone_number": "773-285-9304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3348 W 87th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606523767",
            "country_code": "US",
            "telephone_number": "773-776-4471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "VIVIAN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180016994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.