MEDICARE: NATEVA MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1699363259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATEVA MENTAL HEALTH

Provider Business Mailing Address
First Line	:	1639 N KEYSTONE AVE APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-5239
Country	:	US
Telephone Number	:	773-830-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	1639 N KEYSTONE AVE APT 2
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-5239
Country	:	US
Telephone Number	:	773-830-4321
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	SARA GONZALEZ
Credential	:	LCPC,NCC
Telephone Number	:	773-830-4321

Provider Enumeration Date	:	01/08/2021
Last Update Date	:	01/08/2021

Similar Medicare Providers

1811321151 — MR. DARIO GUTIERREZ HERREN M.A.
Practice Location Address:

5239 N CLARK ST
CHICAGO, IL
60640-2122

Practice Phone: 773-910-8808
Practice Fax:

1679972863 — ELLEN WILDMAN
Practice Location Address:

5239 N CLARK ST , 2ND FLOOR
CHICAGO, IL
60640-2122

Practice Phone: 773-334-7440
Practice Fax:

1518524149 — NORA MARY MURPHY LCPC
Practice Location Address:

5239 N CLARK ST FL 2
CHICAGO, IL
60640-2122

Practice Phone: 773-507-6534
Practice Fax:

1558992099 — TRISKELE LLC
Practice Location Address:

360 W ILLINOIS ST APT 218
CHICAGO, IL
60654-5239

Practice Phone: 858-442-8940
Practice Fax:

1043957939 — JAMI DEVOLDER
Practice Location Address:

5239 N CLARK ST # 2
CHICAGO, IL
60640-2122

Practice Phone: 708-320-3095
Practice Fax:

1639029135 — JESSICA JONES
Practice Location Address:

5354 W HANSON AVE
CHICAGO, IL
60639-4159

Practice Phone: 708-800-1024
Practice Fax:

Directions to “NATEVA MENTAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.