FREDELYN CALLA LCPC, ATR
NPI 1154684116
Counselor - Professional in Chicago, IL
About Fredelyn Calla Lcpc, Atr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDELYN CALLA LCPC, ATR (NPI 1154684116) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.008068) and active in the NPI registry since June 2012. She has opted out of Medicare through January 5, 2028 and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Fredelyn Calla Lcpc, Atr has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 5, 2024 through January 5, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60625
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 Fredelyn Calla's NPI number?
The NPI number for Fredelyn Calla is 1154684116. It was assigned to this individual provider in the NPPES registry on June 24, 2012.
Where is Fredelyn Calla located?
Fredelyn Calla practices at 4633 N Western Ave Ste 205, Chicago, IL 60625. The listed phone number is (312) 488-9834.
What is Fredelyn Calla's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Fredelyn Calla enrolled in Medicare?
No. Fredelyn Calla has opted out of Medicare through January 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Fredelyn Calla accept?
Health plans from UnitedHealthcare list Fredelyn Calla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fredelyn Calla was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Fredelyn Calla, LCPC, ATR · NPI 1154684116
Professional provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since June 24, 2012.
## Identity
- **NPI:** 1154684116 (Entity type: Individual)
- **Enumerated:** June 24, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.008068 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4633 N WESTERN AVE STE 205, Chicago, IL 60625-2087
- **Phone:** (312) 488-9834
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154684116) · Data from the CMS NPPES public registry.