Individual provider Active NPI

Elizabeth Delphia Ritzman, L.C.P.C.

  • Professional Counselor
  • Oak Park, IL
National Provider Identifier
1104956374
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001294 Issued in IL
Practice address
831 S Oak Park Ave
Oak Park, IL 60304-1217
Phone
(708) 848-9900
Fax
(708) 848-9902
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180001294 IL Primary

Addresses

Primary practice location

831 S Oak Park Ave
Oak Park, IL 60304-1217

Mailing address

6129 Old Log TRL
Kalamazoo, MI 49009-8032
Phone (708) 692-8275

Other identifiers 1

IdentifierTypeStateIssuer
6401223967OtherMIMICHIGAN LICENSED PROFESSIONAL COUNSELOR

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

LicenseStateTypeSpecialty
180001294ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Altcare Health Center, LTD Past Accepting new patients

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1104956374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 OLD LOG TRL",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098032",
            "telephone_number": "708-692-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 S OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041217",
            "telephone_number": "708-848-9900",
            "fax_number": "708-848-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZMAN",
        "first_name": "ELIZABETH",
        "middle_name": "DELPHIA",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "6401223967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.