Individual provider Active NPI

Iva Brenae Washington, LPC

  • Mental Health Counselor
  • Evanston, IL
National Provider Identifier
1891588323
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.019228 Issued in IL
Practice address
636 Church St Ste 603
Evanston, IL 60201-4586
Phone
(773) 983-8444
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.019228 IL Primary

Addresses

Primary practice location

636 Church St Ste 603
Evanston, IL 60201-4586

Mailing address

6133 N Kenmore Ave Apt 212
Chicago, IL 60660-2745
Phone (517) 392-5321

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

State licenses

LicenseStateTypeSpecialty
178.019228ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evanston Counseling, PLLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

636 Church St
Ste 603
Evanston, IL 60201
Phone (773) 983-4444

Organizations & group practices 1

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1891588323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 N KENMORE AVE APT 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602745",
            "telephone_number": "517-392-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 603",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014586",
            "telephone_number": "773-983-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "IVA",
        "middle_name": "BRENAE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.019228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.