Active NPI
Erika Jeanne Bielenstein, LCPC
- Professional Counselor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.012276
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.012276 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inclusive Insight Psychotherapy & Consulting | Current | Accepting new patients | |
| Clarity Clinic PLLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1407381064
-
dba Howard Brown Health at La Casa Norte
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1427523125
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.