Jacqueline Chaidez, LPC ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1131 Wheaton Oaks CT
Wheaton, IL 60187-3181

Phone

(630) 940-6828

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

No

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

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.

• Kristin Padera Ma LCPC Inc.

  • Mental Health Counselor
  • Wheaton, IL
  • NPI 1174047138
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1962127019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 WHEATON OAKS CT",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873181",
            "telephone_number": "630-940-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WHEATON OAKS CT",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873181",
            "telephone_number": "630-940-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIDEZ",
        "first_name": "JACQUELINE",
        "credential": "LPC ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WWW.SIMPLEPRACTICE.COM",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1131 Wheaton Oaks Ct",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601873181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Central Dupage Special Health Association
• Central Dupage Special Health Association
• Susan Cepela
• Natalie T Cepynsky, OD
• Debra M Cerone, PT
• Robert J Challenger, M.D.
• Katherine Chamberlain, MA
• Yolanda I Chang, MD
• Yessca Chanza-Ocampo, MA
• Ellena Chaplin

• Mental Health Counselor in Wheaton, IL
• Providers in Wheaton, 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 Oct 11, 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.