Active NPI
Bernard Dyme, LCSW
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1104049014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 20 N Clark St
Suite 2650
Chicago, IL 60602-4109 - Phone
- (866) 296-5262
- Fax
- (312) 558-1570
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
20 N Clark St
Suite 2650
Chicago, IL 60602-4109
Mailing address
20 N Clark St
Suite 2650
Chicago, IL 60602-4109
Phone (866) 296-5262
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 N Clark St
Suite 2750
Chicago, IL 60602-5103
Phone (866) 296-5262
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-000466 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perspectives LTD | Mental Health | Current | Accepting new patients |
| Allone Health Well LLC | Mental Health | Current | Accepting new patients |
Locations
20 N Clark St
Ste 2650
Chicago, IL 60602
Phone (312) 558-1573
20 N Clark St
Ste 2750
Chicago, IL 60602
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.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1750439444
-
- Mental Health Counselor
- Wilkes Barre, PA
- NPI 1659268043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104049014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N CLARK ST",
"address_2": "SUITE 2650",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606024109",
"telephone_number": "866-296-5262",
"fax_number": "312-558-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N CLARK ST",
"address_2": "SUITE 2650",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606024109",
"telephone_number": "866-296-5262",
"fax_number": "312-558-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYME",
"first_name": "BERNARD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.