Active NPI
Martin F Prete, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1073018669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.012530
- Practice address
- 1015 W Lawrence Ave FL 2
Chicago, IL 60640-5017 - Phone
- (773) 275-2586
- NPI assigned
- Mar 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.013187 | IL | |
| Professional Counselor | 101YP2500X | 180.012530 | IL | Primary |
Addresses
Primary practice location
1015 W Lawrence Ave FL 2
Chicago, IL 60640-5017
Mailing address
2238 W Melrose St Apt 1
Chicago, IL 60618-6316
Phone (847) 636-0213
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 |
|---|---|---|---|
| 178.013187 | IL | MD | Professional Counselor |
| 180.012530 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Counseling Center, P.C. | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1669749560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1073018669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2238 W MELROSE ST APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186316",
"telephone_number": "847-636-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W LAWRENCE AVE FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405017",
"telephone_number": "773-275-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETE",
"first_name": "MARTIN",
"middle_name": "F",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.013187",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.012530",
"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 Apr 16, 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.