Active NPI
Vernalynne Evano De la Rosa, LMFT
- Mental Health Counselor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 180 N Michigan Ave Ste 410
Chicago, IL 60601-7488 - Phone
- (888) 726-7170
- NPI assigned
- Jul 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.001330 | IL | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
180 N Michigan Ave Ste 410
Chicago, IL 60601-7488
Mailing address
180 N Michigan Ave Ste 410
Chicago, IL 60601-7488
Phone (888) 726-7170
Other practice location 1
300 E 5th Ave Ste 235
Naperville, IL 60563-3194
Phone (708) 888-4041
Other practice location 2
6918 Windsor Ave
Berwyn, IL 60402-3334
Phone (708) 745-5277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250424003627 | IL | Practitioner - Marriage and Family Therapist | 2769908433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001330 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care Therapy Services of Illinois PC | Current | Accepting new patients | |
| Center for Emotional Resilience | Marriage & Family Therapist | Current | Accepting new patients |
| KP Counseling LTD | Current | Accepting new patients | |
| Optum Behavioral Care Therapy Services of Illinois PC | Current | Accepting new patients |
Locations
180 N Michigan Ave
Ste 410
Chicago, IL 60601
Phone (773) 699-6079
4753 N Broadway St
Ste 403
Chicago, IL 60640
Phone (773) 989-2780
300 E 5th Ave
Ste 235
Naperville, IL 60563
Phone (630) 219-0091
Organizations & group practices 4
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.
-
- Marriage & Family Therapist
- Naperville, IL
- NPI 1891555728
-
- Clinical Social Worker
- Rockford, IL
- NPI 1770630766
-
- Clinical Social Worker
- Rockford, IL
- NPI 1235949553
-
- Clinical Social Worker
- Rockford, IL
- NPI 1780579797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1982917498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 N MICHIGAN AVE STE 410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017488",
"telephone_number": "888-726-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N MICHIGAN AVE STE 410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017488",
"telephone_number": "888-726-7170"
}
],
"practiceLocations": [
{
"address_1": "300 E 5th Ave Ste 235",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605633194",
"country_code": "US",
"telephone_number": "708-888-4041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6918 Windsor Ave",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "604023334",
"country_code": "US",
"telephone_number": "708-745-5277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA ROSA",
"first_name": "VERNALYNNE",
"middle_name": "EVANO",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001330",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.