Active NPI
Alicia M Zuniga, MPH
- Mental Health Counselor
- Rochellee, IL
National Provider Identifier
1972022614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 555 Fairview Dr
Rochellee, IL 61068 - Phone
- (815) 562-9003
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
555 Fairview Dr
Rochellee, IL 61068
Mailing address
555 Fairview Dr
Rochelle, IL 61068
Phone (815) 568-9003
Other practice location 1
114 southview dr
rochelle, IL 61068
Phone (815) 901-4547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1221 | Medicaid | IL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972022614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 FAIRVIEW DR",
"city": "ROCHELLE",
"state": "IL",
"postal_code": "61068",
"telephone_number": "815-568-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 FAIRVIEW DR",
"city": "ROCHELLEE",
"state": "IL",
"postal_code": "61068",
"telephone_number": "815-562-9003"
}
],
"practiceLocations": [
{
"address_1": "114 southview dr",
"address_purpose": "LOCATION",
"city": "rochelle",
"state": "IL",
"postal_code": "61068",
"country_code": "US",
"telephone_number": "815-901-4547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUNIGA",
"first_name": "ALICIA",
"middle_name": "M",
"credential": "MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1221",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.