Avanza Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AVANZA COUNSELING PLLC

Practice address

917 W 18TH St Ste 204
Chicago, IL 60608-2400

Phone

(708) 257-1046

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Odette Ojeda Rivera, LCPCNPI 1598484289

Title

Owner

Phone

(708) 257-1046

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Odette Ojeda Rivera, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1598484289
  NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1972285138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W 22ND PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084206",
            "telephone_number": "708-257-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W 18TH ST STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082400",
            "telephone_number": "708-257-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANZA COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ODETTE",
        "authorized_official_middle_name": "OJEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-257-1046",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.