Active NPI
Rhoda Erebholo
- Mental Health Counselor
- La Grange, IL
National Provider Identifier
1891415626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 333 N la Grange Rd Ste 1
La Grange, IL 60526-5653 - Phone
- (708) 995-3855
- Fax
- (708) 995-3886
- NPI assigned
- Aug 31, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
333 N la Grange Rd Ste 1
La Grange, IL 60526-5653
Mailing address
333 N la Grange Rd Ste 1
La Grange, IL 60526-5653
Phone (708) 995-3855
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rerebholo@pchcares.org | Direct | Pillars Community Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1891415626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N LA GRANGE RD STE 1",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605265653",
"telephone_number": "708-995-3855",
"fax_number": "708-995-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N LA GRANGE RD STE 1",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605265653",
"telephone_number": "708-995-3855",
"fax_number": "708-995-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EREBHOLO",
"first_name": "RHODA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rerebholo@pchcares.org",
"affiliation": "Y",
"endpointDescription": "Direct Service",
"affiliationName": "Pillars Community Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Behavioral health",
"address_1": "333 N La Grange Rd",
"city": "LA Grange Park",
"state": "IL",
"country_code": "US",
"postal_code": "605265646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.