Denise Sandoval, MED, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180011932 Issued in IL

Practice address

21 S la Grange Rd Ste 200
La Grange, IL 60525-2479

Phone

(708) 955-1522

NPI assigned

Aug 19, 2015

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: denise.sandoval.1@13826.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452
  Medicare reassignment Care Compare group
• Denise Pedroza Sandoval LCPC LLC

  • Professional Counselor
  • Berwyn, IL
  • NPI 1871143750
  NPD Authorized official
• DPS Therapy Group LLC

  • Community/Behavioral Health Agency
  • Berwyn, IL
  • NPI 1609463157
  Authorized official Same address or phone

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1861868218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 GAGE AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341408",
            "telephone_number": "708-955-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S LA GRANGE RD STE 200",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252479",
            "telephone_number": "708-955-1522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Jackson Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043597",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MED, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180011932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haissam Sabbagh, MD
• Dana Michelle Sadowski
• Rabia Sajid, MD
• Akihisa Samuel Sakai, MD
• Remona Sanders, LSW
• Luka Saparntye, MSW, LCSW
• Steven Kenneth Sauerberg, MD
• Cynthia Sax, L.C.S.W.
• John Sayers
• Alicia Schanbacher, FNP-C

• Professional Counselor in La Grange, IL
• Providers in La Grange, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.