Individual provider Active NPI

Jennifer Piwnicki

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1023591088
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013920 Issued in IL
Practice address
230 E Ohio St Ste 410-1870
Chicago, IL 60611-3265
Phone
(708) 428-3800
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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 180013920 IL Primary

Addresses

Primary practice location

230 E Ohio St Ste 410-1870
Chicago, IL 60611-3265

Mailing address

111 E Chestnut St Apt 38B
Chicago, IL 60611-2025
Phone (708) 428-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180013920ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Curious Heart Psychotherapy, PLLC CurrentSince Jan 21, 2024 Accepting new patients
Wildflower Center for Emotional Health PLLC PastSince Feb 13, 2022 Accepting new patients

Locations

230 E Ohio St
Ste 4101870
Chicago, IL 60611
Phone (312) 508-3972

Organizations & group practices 2

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1023591088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E CHESTNUT ST APT 38B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112025",
            "telephone_number": "708-428-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST STE 410-1870",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113265",
            "telephone_number": "708-428-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIWNICKI",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.