Abena Ntim-Addae, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.019968 Issued in IL

Practice address

1700 W Irving Park Rd Ste 104
Chicago, IL 60613-2596

Phone

(872) 228-6416

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Emerge Psychology Group LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1063005080
  NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1083494751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 W NORTH SHORE AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266575",
            "telephone_number": "331-269-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132596",
            "telephone_number": "872-228-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTIM-ADDAE",
        "first_name": "ABENA",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE (CAQH)",
            "identifier": "16145266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NRS Arizona, PA
• Susan Eba Nso
• Andrew Ntabi, MD
• Ruthie Consuela Ntandja, PHLEBOTOMIST
• Millicent Ntiamoah, MSW
• Nu Faith Development Corp
• Nu-Day Home Health Care Services
• Nu-Mind Counseling Services
• Nu-Tone Hearing Clinic Inc
• Reem Nubani, M.D.

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.