Individual provider Active NPI

Erika Jeanne Bielenstein, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1114585767
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012276 Issued in IL
Practice address
6500 N Clark St
Chicago, IL 60626-4097
Phone
(773) 388-1600
Fax
(733) 388-1602
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2019

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 180.012276 IL Primary

Addresses

Primary practice location

6500 N Clark St
Chicago, IL 60626-4097

Mailing address

4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone (773) 388-1600

Other practice location 1

3533 W North Ave Ste 1
Chicago, IL 60647-7573
Phone (773) 388-1600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241111001562 IL Practitioner - Mental Health Counselor 9931633104 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.012276ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inclusive Insight Psychotherapy & Consulting CurrentSince Mar 1, 2025 Accepting new patients
Clarity Clinic PLLC CurrentSince Sep 14, 2024 Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404

3665 N Broadway St
Chicago, IL 60613
Phone (773) 496-4433

840 W Irving Park Rd
Ste 302
Chicago, IL 60613
Phone (773) 871-5150

6645 North Ave
Oak Park, IL 60302
Phone (708) 383-5809

Organizations & group practices 3

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1114585767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132010",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264097",
            "telephone_number": "773-388-1600",
            "fax_number": "733-388-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 W North Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606477573",
            "country_code": "US",
            "telephone_number": "773-388-1600",
            "fax_number": "773-388-1602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELENSTEIN",
        "first_name": "ERIKA",
        "middle_name": "JEANNE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.