Individual provider Active NPI

Eric Lindquist

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1083058812
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.001234 Issued in IL
Practice address
10725 S Western Ave
Chicago, IL 60643-3217
Phone
(773) 875-8803
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.001234 IL Primary

Addresses

Primary practice location

10725 S Western Ave
Chicago, IL 60643-3217

Mailing address

10725 S Western Ave
Chicago, IL 60643-3217
Phone (773) 875-8803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403003571 IL Practitioner - Mental Health Counselor 3274057930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10725 S Western Ave
Chicago, IL 60643-3217
Phone (773) 875-8803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.001234ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Lindquist-Licensed Clinical Counselor, PLLC CurrentSince Feb 25, 2025 Accepting new patients

Locations

10725 S Western Ave
Chicago, IL 60643
Phone (773) 233-6500

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1083058812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433217",
            "telephone_number": "773-875-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433217",
            "telephone_number": "773-875-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDQUIST",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.001234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.