Individual provider Active NPI

Vernalynne Evano De la Rosa, LMFT

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1982917498
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424003627 IL Practitioner - Marriage and Family Therapist 2769908433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
166.001330ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care Therapy Services of Illinois PC CurrentSince Jun 1, 2025 Accepting new patients
Center for Emotional Resilience Marriage & Family Therapist Current Accepting new patients
KP Counseling LTD CurrentSince Feb 12, 2025 Accepting new patients
Optum Behavioral Care Therapy Services of Illinois PC CurrentSince Jun 1, 2025 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.

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

Verify at the official NPI Registry.