Active NPI
Renee Perry-Portee, LCPC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1033519988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180008885
- Practice address
- 5002 W Madison St
Chicago, IL 60644-4127 - Phone
- (773) 379-1000
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180008885 | IL | Primary |
Addresses
Primary practice location
5002 W Madison St
Chicago, IL 60644-4127
Mailing address
319 50TH Ave
Bellwood, IL 60104-1348
Phone (708) 256-7231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14300 S Ravinia Ave
Suite 100
Orland Park, IL 60462-2578
Phone (630) 974-6602
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Clinical Services PLLC | Current | Accepting new patients | |
| Inner Reflections Counseling Center | Current | Accepting new patients |
Locations
1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867
14300 S Ravinia Ave
Ste 100
Orland Park, IL 60462
Phone (855) 205-4764
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.
-
- Professional Counselor
- Westchester, IL
- NPI 1649841362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1033519988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 50TH AVE",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "601041348",
"telephone_number": "708-256-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 W MADISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606444127",
"telephone_number": "773-379-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY-PORTEE",
"first_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180008885",
"primary": true
}
],
"identifiers": [],
"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 Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.