Active NPI
Carmen Ochoa-Galindo, ED.D, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1962827964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008360
- Practice address
- 3030 N Mobile Ave
PCC Community Wellness Center
Chicago, IL 60634-4041 - Phone
- (773) 622-5679
- NPI assigned
- Feb 27, 2014
- 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 | 180.008360 | IL | Primary |
Addresses
Primary practice location
3030 N Mobile Ave
PCC Community Wellness Center
Chicago, IL 60634-4041
Mailing address
3030 N Mobile Ave
PCC Community Wellness Center
Chicago, IL 60634-4041
Phone (773) 622-5679
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008360 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Motion Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Berwyn, IL
- NPI 1497375513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1962827964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N MOBILE AVE",
"address_2": "PCC COMMUNITY WELLNESS CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344041",
"telephone_number": "773-622-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N MOBILE AVE",
"address_2": "PCC COMMUNITY WELLNESS CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344041",
"telephone_number": "773-622-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCHOA-GALINDO",
"first_name": "CARMEN",
"credential": "ED.D, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008360",
"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 Dec 26, 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.