Active NPI
Erica D Wade, PH.D., LCPC, ACS
- Professional Counselor
- Chicago, IL
National Provider Identifier
1043491475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-006666
- Practice address
- 155 N Wacker Dr Ste 4250
Chicago, IL 60606-1750 - Phone
- (312) 262-5387
- NPI assigned
- Nov 14, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-006666 | IL | Primary |
Addresses
Primary practice location
155 N Wacker Dr Ste 4250
Chicago, IL 60606-1750
Mailing address
1729 Fairfax Cir E Unit 2
Bartlett, IL 60103-7484
Phone (815) 901-3769
Other practice location 1
1729 Fairfax Cir E Unit 2
Bartlett, IL 60103-7484
Phone (815) 901-3769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180006666 | Other | IL | LCPC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | drwade@clinicalexpressions.org | Direct |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-006666 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1043491475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 FAIRFAX CIR E UNIT 2",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601037484",
"telephone_number": "815-901-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N WACKER DR STE 4250",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061750",
"telephone_number": "312-262-5387"
}
],
"practiceLocations": [
{
"address_1": "1729 Fairfax Cir E Unit 2",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "IL",
"postal_code": "601037484",
"country_code": "US",
"telephone_number": "815-901-3769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADE",
"first_name": "ERICA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D., LCPC, ACS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-006666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC",
"identifier": "180006666",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "drwade@clinicalexpressions.org",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "155 N Wacker Dr Ste 4250",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606061750",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.