Jaya Vanga, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.016886 Issued in IL

Practice address

828 Davis St Apt 213
Evanston, IL 60201-4420

Phone

(312) 781-2850

NPI assigned

Nov 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Chicago Psych Therapy Group, Inc.

  dba Gulf Coast Psych Therapy Group

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1184165383

  Mental Health

  NPD

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1932819471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 DAVIS ST APT 213",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014420",
            "telephone_number": "312-781-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 DAVIS ST APT 213",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014420",
            "telephone_number": "312-781-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGA",
        "first_name": "JAYA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.016886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.chicagopsychtherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "828 Davis St Apt 213",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602014420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer M Vanboxel
• Charlotte Vance, MS, RD, CSCS
• Colleen Vande Hey, PA-C
• Betty Vander Laan
• Kathryn Julia Vanderzwan, MS, APN/CNP
• Mattie Vannostrand, BCBA
• Alan David Vanopstal, M.D.
• Malary Magdelyn Vanoverberghe, MHP
• Robert J. Vantreeck Jr., LCPC
• Julia Layton Vanvoorhies, LCSW

• Mental Health Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.