Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ricardo Ernesto Sotres Mirazo, LCPC

Individual provider Mental Health Counselor · NPI 1245011212

Ricardo Ernesto Sotres Mirazo, LCPC is a Mental Health Counselor in Northfield, Illinois. Qualified in 2019, 7 years ago. Practices with The Josselyn Center Nfp, a 88-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2023
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

405 Central Ave
Northfield, IL 60093-3006
Phone: (847) 441-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1245011212
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedOctober 6, 2023
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Josselyn Center Nfp — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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