Active NPI
Virginia Nachtwey
- Professional Counselor
- Chicago, IL
National Provider Identifier
1104275817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.008708
- Practice address
- 2630 S Wabash Ave
Chicago, IL 60616-2825 - Phone
- (312) 808-3210
- Fax
- (312) 842-9550
- NPI assigned
- Jun 3, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.008708 | IL | Primary |
Addresses
Primary practice location
2630 S Wabash Ave
Chicago, IL 60616-2825
Mailing address
3613 148TH PL
Midlothian, IL 60445-3519
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 |
|---|---|---|---|
| 178.008708 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1104275817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3613 148TH PL",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604453519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 S WABASH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162825",
"telephone_number": "312-808-3210",
"fax_number": "312-842-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACHTWEY",
"first_name": "VIRGINIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.008708",
"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 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.