Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mirna E Ballestas, PSYD

Individual provider Mental Health Counselor · NPI 1942427521

Dr. Mirna E Ballestas, PSYD is a Mental Health Counselor in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4633 N Western Ave Ste 205
Chicago, IL 60625-2087
Phone: (312) 476-9588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S California Ave, Chicago, IL 60608-1729 — (773) 257-4750

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.007650 (IL)
Mental Health Counselor Taxonomy 101YM0800X · Licence 180-005584 (IL)

Record details

NPI number1942427521
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

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