Active NPI
Christina Demeola, MA, LCPC
- Professional Counselor
- Des Plaines, IL
National Provider Identifier
1891427282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.014435
- Practice address
- 2102 Laura LN
Des Plaines, IL 60018-4010 - Phone
- (773) 758-0945
- NPI assigned
- Jun 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.014435 | IL | Primary |
Addresses
Primary practice location
2102 Laura LN
Des Plaines, IL 60018-4010
Mailing address
2102 Laura LN
Des Plaines, IL 60018-4010
Phone (773) 758-0945
Other practice location 1
2102 Laura Ln
Des Plaines, IL 60018-4010
Phone (773) 758-0945
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.014435 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656201600000",
"number": "1891427282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 LAURA LN",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600184010",
"telephone_number": "773-758-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 LAURA LN",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600184010",
"telephone_number": "773-758-0945"
}
],
"practiceLocations": [
{
"address_1": "2102 Laura Ln",
"address_purpose": "LOCATION",
"city": "Des Plaines",
"state": "IL",
"postal_code": "600184010",
"country_code": "US",
"telephone_number": "773-758-0945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMEOLA",
"first_name": "CHRISTINA",
"credential": "MA, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-26",
"last_updated": "2022-06-26",
"certification_date": "2022-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.014435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.