ESTELA MELGOZA LCPC, PHD
NPI 1669996708
Counselor - Professional in Chicago, IL

Active since July 31, 2017PECOS Enrolled
966 W 21ST ST, CHICAGO, IL 60608(733) 254-1400 Get Directions Write a Review

NPPES record last updated: May 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2018, Jul 31, 2017 (2 updates tracked since 2017).

About Estela Melgoza Lcpc, Phd NPPES

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

ESTELA MELGOZA LCPC, PHD (NPI 1669996708) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.010589) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gurnee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669996708
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameESTELA MELGOZACredential: LCPC, PHD
Location Address966 W 21ST STChicago, IL 60608
Mailing Address966 W 21st StChicago, IL 60608-4511 · (733) 254-1400
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 31, 2017
Last NPPES UpdateMay 22, 20182 updates tracked since enumeration
✔ NPI 1669996708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.010589
966 W 21ST ST, Chicago, IL 60608

Secondary Practice Location 1

Location 1135 N Greenleaf St Ste 201Gurnee, IL 60031-5710 · Phone (847) 360-8860

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Estela Melgoza Lcpc, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507325909
PECOS Enrollment IDI20260826003267
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 Estela Melgoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
966 W. 21ST STREET
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 39 clinicians in this Medicare group

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.

Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Pediatrics
966 W 21ST ST, ALIVIO MEDICAL CENTER
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Dentist (Dental Public Health)
966 W 21ST ST
CHICAGO, IL 60608
Nurse Practitioner (Women's Health)
966 W 21ST ST
CHICAGO, IL 60608
Pharmacy (Community/Retail Pharmacy)
966 W 21ST ST
CHICAGO, IL 60608
Advanced Practice Midwife
966 W 21ST ST
CHICAGO, IL 60608
Pediatrics
966 W 21ST ST
CHICAGO, IL 60608

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 Estela Melgoza's NPI number?

The NPI number for Estela Melgoza is 1669996708. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Estela Melgoza located?

Estela Melgoza practices at 966 W 21st St, Chicago, IL 60608. The listed phone number is (733) 254-1400.

What is Estela Melgoza's specialty?

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

Is Estela Melgoza enrolled in Medicare?

Yes. Estela Melgoza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Estela Melgoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Estela Melgoza reassigns Medicare benefits to Alivio Medical Center, Inc. (Chicago, 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 Estela Melgoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Estela Melgoza accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Estela Melgoza 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 Estela Melgoza was last updated on May 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.