Robina Saleem Choudhry, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178015190 Issued in IL

Practice address

687 Anne LN
Bolingbrook, IL 60440-4205

Phone

(630) 991-8389

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advance Psychiatry and Counseling, SC.Group PAC ID 1456353929, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advance Psychiatry & Counseling, SC.

  • Psychiatry Physician
  • Bloomingdale, IL
  • NPI 1669563789
  Medicare reassignment Care Compare group NPD
• Professional Psychiatry and Counseling

  • Psychiatry Physician
  • Bolingbrook, IL
  • NPI 1003483033
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1821648643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 ANNE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404205",
            "telephone_number": "630-991-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 ANNE LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404205",
            "telephone_number": "630-991-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "ROBINA",
        "middle_name": "SALEEM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "C36073767830",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynne Chirio, LCSW
• Chiro One Wellness Center of Bolingbrook LLC
• Bharati Chittineni, MD
• Priti C Chokshi, DDS
• Sonal Desai Choudhary, RD, LDN
• Melissa Anne Chrisos
• Angelika Chumikowski
• Mina H Chung, DDS MS
• Nasiah Cirincione-Ulezi
• Baraka James Cirincione

• Mental Health Counselor in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.