Park Ridge Psychotherapy and Counseling Services, Inc.
NPI 1710405006ActiveOrganization· Counselor, Professional· Park Ridge, IL
Counselor, Professional in Park Ridge, Illinois, registered in NPPES in September 2017. The authorized official on file is Angela Marie Costanza, M.A., LCPC, President/Lcpc/Psychotherapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710405006 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2017 |
| Last updated in NPPES | Sep 25, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 180010333 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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