Tiana S Ghazzali

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178020623 Issued in IL

Practice address

6700 S Clyde Ave Apt 1N
Chicago, IL 60649-1194

Phone

(312) 774-3613

NPI assigned

Nov 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1831808096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 S BENNETT AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606496704",
            "telephone_number": "773-717-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S CLYDE AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491194",
            "telephone_number": "312-774-3613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N County Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873977",
            "country_code": "US",
            "telephone_number": "630-221-7372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N County Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873977",
            "country_code": "US",
            "telephone_number": "630-221-7372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZZALI",
        "first_name": "TIANA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1276565",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178020623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keikhosrow Ghazanfari, MD
• Garo Ghazarian, MD, RRT-ACCS
• Tariq Imad Ghazawi, DMD
• John Patrick Ghazi, M.D.
• Niloofar Ghazizadeh
• Parisa Lynn Ghebleh, LCSW
• Jenish S Gheewala
• Maryam Gheisarifar
• Kalpesh M Ghelani, D.C.
• Lucretia Nicoleta Ghidanac, MD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 May 7, 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.

Verify at the official NPI Registry.