Individual provider Active NPI

Arielle Susan Kalvelage, MSED, LCPC, NCC

  • Professional Counselor
  • Glen Ellyn, IL
National Provider Identifier
1811510738
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015256 Issued in IL
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

Updated by the provider on Oct 9, 2023

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 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

LicenseStateTypeSpecialty
178.016224ILMDProfessional Counselor
180.015256ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Pagone Counseling, PLLC Mental Health PastSince Mar 26, 2023 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.

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.

Verify at the official NPI Registry.