PARK RIDGE PSYCHOTHERAPY AND COUNSELING SERVICES, INC.
NPI 1710405006
Counselor - Professional in Park Ridge, IL
About Park Ridge Psychotherapy And Counseling Services, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK RIDGE PSYCHOTHERAPY AND COUNSELING SERVICES, INC. (NPI 1710405006) is a healthcare organization registered as a professional in Park Ridge, Illinois and active in the NPI registry since September 2017. The organization lists Angela Marie Costanza, President/lcpc/psychotherapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Park Ridge Psychotherapy And Counseling Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Park Ridge Psychotherapy And Counseling Services, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Park Ridge Psychotherapy And Counseling Services, Inc.'s NPI number?
The NPI number for Park Ridge Psychotherapy And Counseling Services, Inc. is 1710405006. It was assigned to this organization in the NPPES registry on September 6, 2017.
Where is Park Ridge Psychotherapy And Counseling Services, Inc. located?
Park Ridge Psychotherapy And Counseling Services, Inc. is located at 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068. The listed phone number is (312) 788-7874.
What is Park Ridge Psychotherapy And Counseling Services, Inc.'s specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Park Ridge Psychotherapy And Counseling Services, Inc. enrolled in Medicare?
Yes. Park Ridge Psychotherapy And Counseling Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Ridge Psychotherapy And Counseling Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Park Ridge Psychotherapy And Counseling Services, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Park Ridge Psychotherapy And Counseling Services, Inc. was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Park Ridge Psychotherapy And Counseling Services, Inc. · NPI 1710405006
Professional organization in Park Ridge, Illinois. Organization record, active in the CMS NPPES registry since September 6, 2017.
## Identity
- **NPI:** 1710405006 (Entity type: Organization)
- **Enumerated:** September 6, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Angela Costanza, PRESIDENT/LCPC/PSYCHOTHERAPIST
## Practice location
- **Address:** 350 S NORTHWEST HWY STE 300, Park Ridge, IL 60068-4262
- **Phone:** (312) 788-7874
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2017
- **Other identifiers:** Other 1568710432 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1710405006) · Data from the CMS NPPES public registry.