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Meredith Yebra , LCPC, ART-BC

Counselor - Professional β€’ Chicago, IL

Active NPI 1437718632 Individual Practitioner Female Practitioner
Practice location in NPPES

4610 N Clark St # 1203
Chicago, IL 606404620

Call 3122787628 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4610 N Clark St # 1203

Chicago, IL 606404620

Telephone 3122787628
Organization at the Same NPPES Address or Phone
My Art Therapy Studio, Pllc Facility NPI 1699478990

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

2,406 active clinicians are listed under Counselor - Professional with a practice address in Chicago, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

1.7% of these 2,406 clinicians have the CMS telehealth indicator.

5.5% of these 2,406 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180014143
Art Therapist

NUCC Taxonomy Code: 221700000X

License # reported to NPPES IL 178014741

(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State Of Illinois
1699478990 (IL)
Other Identifier State Of Illinois
180014143 (IL)
Other Identifier Atr Registry
22-090

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location June 04, 2024

Registered at 4610 N CLARK ST # 1203, CHICAGO, IL 606404620 (Tel: 3122787628)

πŸ“
Updated Business Mailing Address June 04, 2024

Registered at 4610 N CLARK ST # 1203, CHICAGO, IL 606404620 (Tel: 3122787628)

πŸ‘€
Provider Name / Credentials Updated June 04, 2024

Recorded as MEREDITH YEBRA, LCPC, ART-BC

πŸ‘€
Provider Name / Credentials Updated August 31, 2022

Recorded as MEREDITH RAQUE, LCPC, ART

πŸ‘€
Provider Name / Credentials Updated February 22, 2022

Recorded as MEREDITH RAQUE, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2022

Art Therapist (license number reported to NPPES: IL 178014741)

πŸ“
Updated Practice Location August 23, 2021

Registered at 30 N MICHIGAN AVE STE 424, CHICAGO, IL 606023844 (Tel: 3122799981)

πŸ“
Updated Business Mailing Address August 23, 2021

Registered at 30 N MICHIGAN AVE STE 424, CHICAGO, IL 606023844 (Tel: 3122799981)

βœ…
NPI Profile Active June 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2019

Registered at 1 E SUPERIOR ST STE 306, CHICAGO, IL 606112595 (Tel: 3127549404)

πŸ“
Business Mailing Address (Initial Record) June 11, 2019

Registered at 1 E SUPERIOR ST STE 306, CHICAGO, IL 606112595

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2019

Recorded as MEREDITH RAQUE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Counselor (license number reported to NPPES: IL 178.014741)

🟒
Initial NPI Registration & Enumeration June 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437718632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2019
Last Update: June 04, 2024
Sole Proprietor: Yes

Other Counselor - Professionals in Chicago

All Counselor - Professionals in Chicago

Mailing Address

4610 N Clark St # 1203

Chicago, IL 606404620

Phone: 3122787628

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.