Active NPI
Michael Chapman
- Counselor
- Northbrook, IL
National Provider Identifier
1083366348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.019718
- Practice address
- 605 Landwehr Rd
Northbrook, IL 60062-2309 - Phone
- (224) 723-5772
- NPI assigned
- Jan 18, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.019718 | IL | Primary |
Addresses
Primary practice location
605 Landwehr Rd
Northbrook, IL 60062-2309
Mailing address
605 Landwehr Rd
Northbrook, IL 60062-2309
Other practice location 1
8623 N Wayne Rd
Westland, MI 48185-1137
Phone (734) 523-8250
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 |
|---|---|---|---|
| 178.019718 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Pathways PLLC | Current | Accepting new patients | |
| Hegira Health, Inc. | Past | Accepting new patients |
Locations
605 Landwehr Rd
Northbrook, IL 60062
Phone (224) 723-5772
617 Landwehr Rd
Northbrook, IL 60062
Phone (224) 723-5772
Organizations & group practices 2
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.
-
- Psychologist
- Northbrook, IL
- NPI 1902292048
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1083366348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 LANDWEHR RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 LANDWEHR RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622309",
"telephone_number": "224-723-5772"
}
],
"practiceLocations": [
{
"address_1": "8623 N Wayne Rd",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481851137",
"country_code": "US",
"telephone_number": "734-523-8250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAPMAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-18",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.019718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.