Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215384292 Individual Practitioner Female Practitioner

Elisa Julia Lee , LCPC, NBCC

Counselor - Professional • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Elisa Lee, LCPC, NBCC is a registered healthcare professional specializing in Counselor - Professional in Chicago, IL. Practice services are available at 6815 W 63RD ST STE 7 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6815 W 63rd St Ste 7

Chicago, IL 606384066

Telephone 7083043010
Fax 7085755333
Associated Practice Facility / Clinic
🏢 Mindful Behavior Facility NPI 1558035519

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2437 Specialists

Practicing in Chicago, IL (9683 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-03-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180013779

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IL 178013267

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
$$$$$$$$$ (IL)

Secondary Practice Locations

3245 Grove Ave Ste 208

Berwyn, IL 604023476

Phone: 7083043010

8 S Michigan Ave Ste 612

Chicago, IL 606033488

Phone: 7083043010

137 N Oak Park Ave Ste 212

Oak Park, IL 603011340

Phone: 7083043010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Yasmin Aguilar , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053188433

Psychiatric-Mental Health Nurse Practitioner

Ruben Hernandez

Social Worker - Clinical

NPI 1083439483
Natalie Mayorga

Counselor - Mental Health

NPI 1083578017
Patricia Martinez Brito

Counselor - Mental Health

NPI 1235015314
NPI 1346036563

Licensed Social Worker

Maria Villagomez , MA

Counselor - Professional

NPI 1356069371

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location July 06, 2022

Registered at 6815 W 63RD ST STE 7, CHICAGO, IL 606384066 (Tel: 7083043010)

📍
Updated Practice Location December 10, 2021

Registered at 5350 S SPRINGFIELD AVE, CHICAGO, IL 606323729 (Tel: 2622884883)

📍
Updated Business Mailing Address December 10, 2021

Registered at PO BOX 388556, CHICAGO, IL 606388556 (Tel: 2622884883)

👤
Provider Name / Credentials Updated December 10, 2021

Recorded as ELISA LEE, LCPC, NBCC

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2017

Registered at 6201 CERMAK RD, BERWYN, IL 604025742 (Tel: 7087888808)

📍
Updated Business Mailing Address September 12, 2017

Registered at 5435 S LONG AVE, CHICAGO, IL 606382919 (Tel: (708) 800-5162)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as ELISA LEE, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Counselor (License #178013267 in IL)

NPI Profile Active May 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2016

Registered at 5435 S LONG AVE, CHICAGO, IL 606382919 (Tel: 7088005162)

📍
Updated Business Mailing Address May 19, 2016

Registered at 5435 S LONG AVE, CHICAGO, IL 606382919 (Tel: 7088005162)

👤
Provider Name / Credentials Updated May 19, 2016

Recorded as ELISA SOTO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2016

Counselor

🟢
Initial NPI Registration & Enumeration May 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215384292
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2016
Last Update: March 27, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 388556

Chicago, IL 606388556

Phone: 7083043010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.