ISABELLA VILLA LSW
NPI 1790375954
Counselor - Mental Health in Chicago, IL

Active since January 21, 2021Opted out of Medicare · through Apr 16, 2028
1000 W DIVERSEY PKWY, CHICAGO, IL 60614(773) 281-7200 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Isabella Villa Lsw NPPES

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

ISABELLA VILLA LSW (NPI 1790375954) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (150.104855) and active in the NPI registry since January 2021. She has opted out of Medicare through April 16, 2028.

NPPES Registry Identity

NPI1790375954
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameISABELLA VILLACredential: LSW
Location Address1000 W DIVERSEY PKWYChicago, IL 60614-1879
Mailing Address1000 W Diversey Pkwy Ste 275Chicago, IL 60614-1879 · (773) 281-7200
Sole ProprietorYes
Enumeration DateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
NPI 1790375954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 150.104855
1000 W DIVERSEY PKWY, Chicago, IL 60614

Other Names 1

Professional Name (2)Isabella Villa Lsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Isabella Villa Lsw 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 April 16, 2024 through April 16, 2028.

Opt-Out Effective DateApril 16, 2024
Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Mental Health)
1000 W DIVERSEY PKWY
CHICAGO, IL 60614
Counselor (Professional)
1000 W DIVERSEY PKWY, SUITE 275
CHICAGO, IL 60614
Social Worker (Clinical)
1000 W DIVERSEY PKWY, SUITE 275
CHICAGO, IL 60614
Counselor (Professional)
1000 W DIVERSEY PKWY, SUITE 275
CHICAGO, IL 60614
Social Worker
1000 W DIVERSEY PKWY
CHICAGO, IL 60614
Counselor (Professional)
1000 W DIVERSEY PKWY, SUITE 275
CHICAGO, IL 60614
Counselor (Professional)
1000 W DIVERSEY PKWY, SUITE 260
CHICAGO, IL 60614

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 Isabella Villa's NPI number?

The NPI number for Isabella Villa is 1790375954. It was assigned to this individual provider in the NPPES registry on January 21, 2021. The provider is also known as Isabella Villa Lsw.

Where is Isabella Villa located?

Isabella Villa practices at 1000 W Diversey Pkwy, Chicago, IL 60614. The listed phone number is (773) 281-7200.

What is Isabella Villa's specialty?

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

Is Isabella Villa enrolled in Medicare?

No. Isabella Villa has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Isabella Villa was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.