Active NPI
Amy Louise Cavazos, MAAT, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1902284300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9700433
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9700433 | IL | MD | Professional 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.