Individual provider Active NPI

Lavanya Chimata, MA, LCPC, NCC

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1881226439
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2100 Manchester Rd Ste 602
Wheaton, IL 60187-4587
Phone
(630) 480-0060
NPI assigned
Feb 11, 2020
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2100 Manchester Rd Ste 602
Wheaton, IL 60187-4587

Mailing address

2100 Manchester Rd Ste 602
Wheaton, IL 60187-4587

Other practice location 1

2272 95th St Ste 305
Naperville, IL 60564-8944
Phone (630) 753-9800

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
I20250723001125 IL Practitioner - Mental Health Counselor 8729594080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Modify PCGroup PAC ID 8628355963, 7 clinicians

Practice addresses (Care Compare)

2272 95TH St
Suite 305
Naperville, IL 60564-8944
Phone (630) 753-9800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modify, P.C. Professional CurrentSince May 21, 2025 Accepting new patients
Revive Psychological Services P.C. PastSince Feb 1, 2020 Accepting new patients
Evergreen Counseling LLC Mental Health Past Accepting new patients

Locations

2244 95th St
Ste 301
Naperville, IL 60564
Phone (630) 753-9800

2272 95th St
Ste 305
Naperville, IL 60564
Phone (630) 753-9800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1881226439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 602",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 602",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874587",
            "telephone_number": "630-480-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2272 95th St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648944",
            "country_code": "US",
            "telephone_number": "630-753-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIMATA",
        "first_name": "LAVANYA",
        "credential": "MA, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.