Individual provider Active NPI

Joanna Cecylia Bakowska

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1124627088
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178016435 Issued in IL
Practice address
935 W Chestnut St Ste 204
Chicago, IL 60642-5445
Phone
(888) 726-7170
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 178016435 IL Primary

Addresses

Primary practice location

935 W Chestnut St Ste 204
Chicago, IL 60642-5445

Mailing address

600 S Dearborn St Apt 906
Chicago, IL 60605-1894
Phone (312) 669-4396

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chicago Direct

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
I20260303000476 IL Practitioner - Mental Health Counselor 7416439278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 901
Chicago, IL 60602-3767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178016435ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Insights Counseling PLLC CurrentSince Jan 21, 2026 Accepting new patients

Locations

30 N Michigan Ave
Ste 901
Chicago, IL 60602
Phone (312) 339-8604

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1124627088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DEARBORN ST APT 906",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051894",
            "telephone_number": "312-669-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 W CHESTNUT ST STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425445",
            "telephone_number": "888-726-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOWSKA",
        "first_name": "JOANNA",
        "middle_name": "CECYLIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "935 W Chestnut St Ste 204",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606425445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.