Active NPI
Wendy L. Manto, M.A., L.C.P.C.
- Professional Counselor
- Chicago, IL
National Provider Identifier
1992941876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.008573
- Practice address
- 1623 N Western Ave
Chicago, IL 60647-5321 - Phone
- (773) 368-5933
- NPI assigned
- Dec 26, 2008
- 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 | 180.008573 | IL | Primary |
Addresses
Primary practice location
1623 N Western Ave
Chicago, IL 60647-5321
Mailing address
1623 N Western Ave
Chicago, IL 60647-5321
Phone (773) 368-5933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCPC NO. 180.008573 | Other | IL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 3, 2025 through Dec 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.008573 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1992941876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 N WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475321",
"telephone_number": "773-368-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 N WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475321",
"telephone_number": "773-368-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTO",
"first_name": "WENDY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "M.A., L.C.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-26",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.008573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "LCPC NO. 180.008573",
"state": "IL"
}
],
"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 Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.