Individual provider Active NPI

Angela Nadine Zirk, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1073317392
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180016940 Issued in IL
Practice address
6601 N Avondale Ave Ste 201
Chicago, IL 60631-1567
Phone
(773) 796-7035
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180016940 IL Primary

Addresses

Primary practice location

6601 N Avondale Ave Ste 201
Chicago, IL 60631-1567

Mailing address

6601 N Avondale Ave Ste 201
Chicago, IL 60631-1567
Phone (773) 796-7035

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

LicenseStateTypeSpecialty
180016940ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holding Space for Psychological Wellness, LLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

6601 N Avondale Ave
Ste 201
Chicago, IL 60631
Phone (773) 631-0072

6650 N Northwest Hwy
Ste 1W
Chicago, IL 60631
Phone (773) 796-7035

6601 N Avondale Ave
Fl 2
Chicago, IL 60631
Phone (773) 796-7035

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1073317392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311567",
            "telephone_number": "773-796-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311567",
            "telephone_number": "773-796-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRK",
        "first_name": "ANGELA",
        "middle_name": "NADINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180016940",
            "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 Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.