Individual provider Active NPI

Michele Baldasti, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1144080573
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178019824 Issued in IL
Practice address
4001 N Wolcott Ave
Chicago, IL 60613-2411
Phone
(773) 789-9775
NPI assigned
Mar 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 178019824 IL Primary

Addresses

Primary practice location

4001 N Wolcott Ave
Chicago, IL 60613-2411

Mailing address

4001 N Wolcott Ave
Chicago, IL 60613-2411
Phone (773) 789-9775

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
178019824ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Semillas Counseling PLLC Professional CurrentSince Mar 24, 2024 Accepting new patients
Chicago Counseling Center, P.C. Professional Past Accepting new patients

Locations

4001 N Wolcott Ave
Chicago, IL 60613
Phone (773) 789-9775

Organizations & group practices 2

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1144080573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N WOLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132411",
            "telephone_number": "773-789-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N WOLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132411",
            "telephone_number": "773-789-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDASTI",
        "first_name": "MICHELE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178019824",
            "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 Mar 21, 2024; 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.