Individual provider Active NPI

Teresa Ammirati, LCPC

  • Mental Health Counselor
  • Oak Brook, IL
National Provider Identifier
1124182308
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1189017655 Issued in IL
Practice address
210 W 22ND St
Suite 118
Oak Brook, IL 60523-1544
Phone
(847) 217-9381
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1189017655 IL Primary

Addresses

Primary practice location

210 W 22ND St
Suite 118
Oak Brook, IL 60523-1544

Mailing address

9344 Lawndale Ave
Evanston, IL 60203-1305
Phone (847) 217-9381

Other identifiers 1

IdentifierTypeStateIssuer
2232062OtherILBC AND BS IL

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
1189017655ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ammirati Counseling Mental Health 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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124182308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 LAWNDALE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031305",
            "telephone_number": "847-217-9381",
            "fax_number": "847-673-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 22ND ST",
            "address_2": "SUITE 118",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231544",
            "telephone_number": "847-217-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMIRATI",
        "first_name": "TERESA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "1189017655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AND BS IL",
            "identifier": "2232062",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.