MR. CHRISTIAN LEDEZMA - NPI 1235644980 - Counselor in Oak Brook, IL

Q: What is Christian Ledezma's NPI number?

The NPI number for Christian Ledezma is 1235644980. It was assigned to this individual provider in the NPPES registry on December 4, 2017.

Q: What is Christian Ledezma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Christian Ledezma was last updated on February 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Christian Ledezma NPPES

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

MR. CHRISTIAN LEDEZMA (NPI 1235644980) is an individual mental health provider in Oak Brook, Illinois and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Waukegan, and is a graduate of Vanderbilt University School Of Medicine (2022).

NPPES Registry Identity

NPI1235644980

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. CHRISTIAN LEDEZMA

Location Address1100 JORIE BLVD STE 300Oak Brook, IL 60523-2219

Mailing Address917 Oakwood DrRound Lake Beach, IL 60073-1504 · (224) 308-8373

Phone(630) 974-6602

Fax(630) 487-2411

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2022

Enumeration DateDecember 4, 2017

Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2025

✔ NPI 1235644980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1100 JORIE BLVD STE 300, Oak Brook, IL 60523

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Secondary Practice Location 1

Location 13010 Grand AveWaukegan, IL 60085-2321 · Phone (847) 377-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Christian Ledezma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850880022

PECOS Enrollment IDI20251028003675

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.

Other Providers at the Same Location NPPES 7

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

ALLISON HASENMILLER LCSW

Social Worker (Clinical)