Individual provider Active NPI

Yasmin Zaragoza, MA, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1881008985
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008631 Issued in IL
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

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109004072 IL Practitioner - Mental Health Counselor 7810348323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.008631ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Family Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients
Erie Family Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Ywca Metropolitan Chicago Past Accepting new patients
New Horizon Counseling Center, LLC Professional PastSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.