IndividualActive
Ivan Velasco, LCPC
NPI 1679906556 · Mental Health Counselor · Skokie, IL
Provider details
- NPI number
- 1679906556
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 180.008757 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5225 Old Orchard Rd
Suite 5
Skokie, IL 60077-1027
Phone: (847) 260-8164
Fax: (847) 728-8675
Approximate (ZIP-level) locationGet directions
Mailing address
5225 Old Orchard Rd
Skokie, IL 60077-1027
Registry dates
- Enumerated
- 2013-08-15
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.