Active NPI
Aviva Rosenberg, LCSW
- School Counselor
- Chicago, IL
National Provider Identifier
1073152898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 149.021661
- Practice address
- 2754 W Fullerton Ave
Chicago, IL 60647-6870 - Phone
- (312) 762-2749
- NPI assigned
- Dec 26, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 149.021661 | IL | Primary |
Addresses
Primary practice location
2754 W Fullerton Ave
Chicago, IL 60647-6870
Mailing address
655 W Irving Park Rd Apt 5514
Chicago, IL 60613-6311
Phone (973) 715-6450
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 |
|---|---|---|---|
| 149.021661 | IL | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1073152898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W IRVING PARK RD APT 5514",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606136311",
"telephone_number": "973-715-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2754 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606476870",
"telephone_number": "312-762-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "AVIVA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IL",
"license": "149.021661",
"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 Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.