Active NPI
John Schroeder, LPC, NBCC
- Professional Counselor
- Addison, IL
National Provider Identifier
1063166882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.017705
- Practice address
- 303 W Lake St
Addison, IL 60101-2586 - Phone
- (630) 527-3200
- NPI assigned
- Feb 10, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 178.017705 | IL | Primary |
Addresses
Primary practice location
303 W Lake St
Addison, IL 60101-2586
Mailing address
810 Pick St
Wheaton, IL 60187-4442
Phone (262) 470-8200
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.017705 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1063166882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 PICK ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601874442",
"telephone_number": "262-470-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W LAKE ST",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012586",
"telephone_number": "630-527-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JOHN",
"credential": "LPC, NBCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.017705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.