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NOEL CORDOVA CADC, LPC
NPI 1144685082
Counselor - Professional in Melrose Park, IL

Active since December 18, 2015PECOS Enrolled
4419 W NORTH AVE, MELROSE PARK, IL 60160(773) 777-7112 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Noel Cordova Cadc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOEL CORDOVA CADC, LPC (NPI 1144685082) is an individual professional provider in Melrose Park, Illinois, licensed in Illinois (178.011077) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1144685082
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNOEL CORDOVACredential: CADC, LPC
Location Address4419 W NORTH AVEMelrose Park, IL 60160-1021
Mailing Address4419 W North AveMelrose Park, IL 60160-1021 · (773) 777-7112
Phone(773) 777-7112
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 18, 2015
✔ NPI 1144685082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.011077
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 32131 (IL)
4419 W NORTH AVE, Melrose Park, IL 60160
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noel Cordova Cadc, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456794593
PECOS Enrollment IDI20240206002847
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Noel Cordova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shift Counseling, P.C.
4.5 mi
Mental Health
9007 W CERMAK RD
North Riverside, IL 60546
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1619480019 (708) 522-4009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AGNIESZKA ALINA WYSOCKA
Counselor (Professional)
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
LISA JEAN LEVY
Counselor
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
MISS ANDREA CELESTE PACHECO
Counselor
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
STEPHANIE ANN VERMILLION
Counselor (Professional)
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 450-1798
ANGELES ELIZABETH VAZQUEZ
Counselor
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 205-4587
MITCHELL KRUCKENBERG MED, LPC
Counselor (Mental Health)
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
MR. LAWRENCE WOZNICKI MS,CADC
Counselor (Addiction (Substance Use Disorder))
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112
AMBER LYNN MAIBERGER BFA, RSA
Counselor
4419 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (773) 777-7112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noel Cordova's NPI number?

The NPI number for Noel Cordova is 1144685082. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Where is Noel Cordova located?

Noel Cordova practices at 4419 W North Ave, Melrose Park, IL 60160. The listed phone number is (773) 777-7112.

What is Noel Cordova's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Noel Cordova enrolled in Medicare?

Yes. Noel Cordova is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noel Cordova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noel Cordova reassigns Medicare benefits to Shift Counseling, P.C. (North Riverside, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Noel Cordova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Noel Cordova was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.