Individual provider Active NPI

Jordi Comas Vila, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1932651940
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011309 Issued in IL
Practice address
4610 N Clark St # 1009
Chicago, IL 60640-4620
Phone
(312) 890-3251
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 180011309 IL Primary

Addresses

Primary practice location

4610 N Clark St # 1009
Chicago, IL 60640-4620

Mailing address

1330 W Nelson St
GDN Apt
Chicago, IL 60657-4216
Phone (312) 890-3251

Other practice location 1

4840 W Byron St
Chicago, IL 60641-2712
Phone (773) 719-3628

Other practice location 2

1330 W Nelson St
GDN Apt
Chicago, IL 60657-4216
Phone (312) 890-3251

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
180011309ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1932651940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W NELSON ST",
            "address_2": "GDN APT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574216",
            "telephone_number": "312-890-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N CLARK ST # 1009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404620",
            "telephone_number": "312-890-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 W Byron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606412712",
            "country_code": "US",
            "telephone_number": "773-719-3628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 W Nelson St",
            "address_2": "GDN Apt",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574216",
            "country_code": "US",
            "telephone_number": "312-890-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMAS VILA",
        "first_name": "JORDI",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011309",
            "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 May 18, 2021; 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.