Active NPI
Arielle Susan Kalvelage, MSED, LCPC, NCC
- Professional Counselor
- Glen Ellyn, IL
National Provider Identifier
1811510738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.015256
- Practice address
- 800 Roosevelt Rd Ste B308
Glen Ellyn, IL 60137-5853 - Phone
- (630) 796-0884
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.016224 | IL | |
| Professional Counselor | 101YP2500X | 180.015256 | IL | Primary |
Addresses
Primary practice location
800 Roosevelt Rd Ste B308
Glen Ellyn, IL 60137-5853
Mailing address
800 Roosevelt Rd Ste B308
Glen Ellyn, IL 60137-5853
Other practice location 1
211 W Chicago Ave Ste 119
Hinsdale, IL 60521-3355
Phone (630) 796-0884
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 |
|---|---|---|---|
| 178.016224 | IL | MD | Professional Counselor |
| 180.015256 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Pagone Counseling, PLLC | Mental Health | 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.
-
dba Authentic Growth Wellness Group
- Professional Counselor
- Hinsdale, IL
- NPI 1396357737
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1811510738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD STE B308",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROOSEVELT RD STE B308",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375853",
"telephone_number": "630-796-0884"
}
],
"practiceLocations": [
{
"address_1": "211 W Chicago Ave Ste 119",
"address_purpose": "LOCATION",
"city": "Hinsdale",
"state": "IL",
"postal_code": "605213355",
"country_code": "US",
"telephone_number": "630-796-0884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KALVELAGE",
"first_name": "ARIELLE",
"middle_name": "SUSAN",
"credential": "MSED, LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.016224",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.015256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.