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Estela Melgoza, LCPC, PhD

Counselor, Professional in Chicago, IL. Individual provider (NPI-1).

NPI number1669996708
StatusActive
Last updated in NPPESMay 22, 2018

Details

NPI
1669996708
Entity type
Individual (NPI-1)
Name
Estela Melgoza
Credential
LCPC, PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 31, 2017
Last updated
May 22, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional180.010589ILYes

Practice location

966 W 21st St
Chicago, IL 60608

Phone 733-254-1400

Mailing address

966 W 21st St
Chicago, IL 60608-4511

Phone 733-254-1400

Other practice locations

135 N Greenleaf St Ste 201
Gurnee, IL 60031-5710

Phone 847-360-8860

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