Active NPI
Yasmin Zaragoza, MA, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1881008985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008631
- Practice address
- 820 W Jackson Blvd Ste 550
Chicago, IL 60607-3053 - Phone
- (312) 733-2102
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180008631 | IL | |
| Professional Counselor | 101YP2500X | 180.008631 | IL | Primary |
Addresses
Primary practice location
820 W Jackson Blvd Ste 550
Chicago, IL 60607-3053
Mailing address
820 W Jackson Blvd Ste 550
Chicago, IL 60607-3053
Other practice location 1
1601 E. Lamar Blvd Ste 210
Arlington, TX 76011
Phone (817) 522-1095
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008631 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Ywca Metropolitan Chicago | Past | Accepting new patients | |
| New Horizon Counseling Center, LLC | Professional | Past | Accepting new patients |
Locations
1504 S Albany Ave
Chicago, IL 60623
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381
1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
- Counselor
- Chicago, IL
- NPI 1154833994
-
- Professional Counselor
- River Oaks, TX
- NPI 1578863601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1881008985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 W JACKSON BLVD STE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 W JACKSON BLVD STE 550",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073053",
"telephone_number": "312-733-2102"
}
],
"practiceLocations": [
{
"address_1": "1601 E. Lamar Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "76011",
"country_code": "US",
"telephone_number": "817-522-1095",
"fax_number": "817-460-0286",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZARAGOZA",
"first_name": "YASMIN",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008631",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.