M Rosario Villanueva-Khan, MA/MA/LCP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.009931 Issued in IL

Practice address

14489 John Humphrey Dr
Suite #202
Orland Park, IL 60462-2671

Phone

(312) 513-5965

Fax

(708) 349-2194

NPI assigned

Jun 6, 2014

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

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, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Advanced Psychiatric Solutions, IncGroup PAC ID 9638535354, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Advanced Psychiatric Solutions Inc.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Oak Brook, IL
  • NPI 1548791452
  Medicare reassignment Care Compare group NPD
• Alaska Psychiatric Solutions LLC

  • Psychiatry Physician
  • Juneau, AK
  • NPI 1306521315
  NPD (past)
• Respro Sleep

  • Sleep Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1013752310
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1871906859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR",
            "address_2": "SUITE #202",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622671",
            "telephone_number": "312-513-5965",
            "fax_number": "708-349-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14489 JOHN HUMPHREY DR",
            "address_2": "SUITE #202",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622671",
            "telephone_number": "312-513-5965",
            "fax_number": "708-349-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA-KHAN",
        "first_name": "M ROSARIO",
        "credential": "MA/MA/LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.009931",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180012035",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vijayalakshmi Thota DO
• Vijayalakshmi Thota DO SC
• Olga M Vila-Sola, MD
• Gloria Villa, COTA
• Olivia Villa, MS, BCBA
• Julie Villarejo, L.P.C
• Carolina V Villrareal-Delraso
• Michael D Villwock, APRN, CNP
• Vision Source, P.C.
• Visionworks Inc

• Mental Health Counselor in Orland Park, IL
• Providers in Orland Park, 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 Aug 6, 2021; 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.