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Active NPI 1356136758 Individual Practitioner Female Practitioner

Lidya Agustina Tandayu , MA

Counselor - Professional • Elgin, IL

Professional Overview & Biography Verified Profile Summary

Lidya Tandayu, MA is a registered healthcare professional specializing in Counselor - Professional in Elgin, IL. Practice services are available at 1595 WELD RD STE 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1595 Weld Rd Ste 9

Elgin, IL 601235896

Telephone 8477072689

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Elgin, IL (9683 Statewide)

Telehealth Adoption Rate
4.7% 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: 2025-04-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178019770

Definition to come...

Practice Associates & Co-Workers

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

19 Associated Practitioners
Megan Bennett

Social Worker

NPI 1023617784
Jordan Utter

Social Worker

NPI 1023989084
Elizabeth Vischer , LCPC, LMHC

Counselor - Mental Health

NPI 1043982689

Licensed Clinical Professional Counselor, Licensed Mental Health Counselor

Alicia Havens

Counselor - Mental Health

NPI 1134856552
Lydia Mueller , MA

Marriage & Family Therapist

NPI 1225833106

Master of Arts

Sari Lash

Counselor - Mental Health

NPI 1346966926

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 14, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2025

Registered at 1595 WELD RD STE 9, ELGIN, IL 601235896 (Tel: 8477072689)

📍
Updated Business Mailing Address April 14, 2025

Registered at 6800 W RAVEN ST UNIT 410, CHICAGO, IL 606312529 (Tel: 7736959559)

👤
Provider Name / Credentials Updated April 14, 2025

Recorded as LIDYA TANDAYU, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2025

Counselor (License #178019770 in IL)

🟢
Initial NPI Registration & Enumeration April 14, 2025

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: 1356136758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2025
Last Update: April 14, 2025
Sole Proprietor: Yes

Mailing Address

6800 W Raven St Unit 410

Chicago, IL 606312529

Phone: 7736959559

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.