Individual provider Active NPI

Julie Thomas-Lotterman

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1114493533
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.014235 Issued in IL
Practice address
1416 W Belmont Ave
Chicago, IL 60657-0939
Phone
(734) 717-8764
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 178.014235 IL Primary

Addresses

Primary practice location

1416 W Belmont Ave
Chicago, IL 60657-0939

Mailing address

600 N Fairbanks CT Unit 2507
Chicago, IL 60611-5856
Phone (734) 717-8764

Other identifiers 1

IdentifierTypeStateIssuer
178014235OtherILLPC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 31, 2024 through Dec 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.014235ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abound Counseling and Wellness, PLLC 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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1114493533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N FAIRBANKS CT UNIT 2507",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115856",
            "telephone_number": "734-717-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570939",
            "telephone_number": "734-717-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-LOTTERMAN",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "178014235",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.