Healthcare Provider Details

I. General information

NPI: 1669339453
Provider Name (Legal Business Name): MERCEDES RHEA LCPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8745 W HIGGINS RD STE 110
CHICAGO IL
60631-2753
US

IV. Provider business mailing address

8745 W HIGGINS RD STE 110
CHICAGO IL
60631-2753
US

V. Phone/Fax

Practice location:
  • Phone: 800-743-9814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.014626
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: