Individual provider Active NPI

Amy Louise Cavazos, MAAT, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1902284300
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9700433 Issued in IL
Practice address
6934 N Glenwood Ave Apt B1
Chicago, IL 60626-3854
Phone
(312) 344-3486
NPI assigned
May 18, 2015
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 9700433 IL Primary

Addresses

Primary practice location

6934 N Glenwood Ave Apt B1
Chicago, IL 60626-3854

Mailing address

1304 W Hood Ave Unit 2
Chicago, IL 60660-2508
Phone (312) 613-6080

Other practice location 1

70 E Lake St
Suite 1300
Chicago, IL 60601-5959
Phone (312) 726-4011 ext. 5695

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
9700433ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1902284300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W HOOD AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602508",
            "telephone_number": "312-613-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 N GLENWOOD AVE APT B1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263854",
            "telephone_number": "312-344-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 E Lake St",
            "address_2": "Suite 1300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015959",
            "country_code": "US",
            "telephone_number": "312-726-4011 x5695",
            "fax_number": "312-726-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "MAAT, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "9700433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.