Individual provider Active NPI

Adriana J Butcher

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1003437450
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.012821 Issued in FL
Practice address
2008 N Lawler Ave
Chicago, IL 60639-3136
Phone
(708) 860-1201
Fax
(708) 221-6679
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.012821 FL Primary

Addresses

Primary practice location

2008 N Lawler Ave
Chicago, IL 60639-3136

Mailing address

2008 N Lawler Ave
Chicago, IL 60639-3136
Phone (708) 860-1201

Other identifiers 1

IdentifierTypeStateIssuer
178.012821OtherILLICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.012821FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
RL Group Professional CurrentSince May 3, 2020 Accepting new patients

Locations

2008 N Lawler Ave
Chicago, IL 60639
Phone (312) 837-3335

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1003437450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 N LAWLER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393136",
            "telephone_number": "708-860-1201",
            "fax_number": "708-221-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 N LAWLER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393136",
            "telephone_number": "708-860-1201",
            "fax_number": "708-221-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "ADRIANA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "178.012821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "178.012821",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.