Individual provider Active NPI

Rachel Streck

  • Counselor
  • Schaumburg, IL
National Provider Identifier
1144988973
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
955 N Plum Grove Rd Ste C
Schaumburg, IL 60173-4784
Phone
(847) 884-0210
Fax
(847) 884-7349
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

955 N Plum Grove Rd Ste C
Schaumburg, IL 60173-4784

Mailing address

208 Eagle CT
Dyer, IN 46311-4014
Phone (219) 743-9684

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rstreck@ego.thechicagoschool.edu Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Diagnostic Center of Woodfield, LTD. CurrentSince Dec 5, 2021 Accepting new patients
MB Clinical Psychology & Consulting, LLC PastSince Dec 5, 2021 Accepting new patients

Locations

955 N Plum Grove Rd
Ste C
Schaumburg, IL 60173
Phone (847) 884-0210

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1144988973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 EAGLE CT",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463114014",
            "telephone_number": "219-743-9684",
            "fax_number": "847-884-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 N PLUM GROVE RD STE C",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734784",
            "telephone_number": "847-884-0210",
            "fax_number": "847-884-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRECK",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rstreck@ego.thechicagoschool.edu",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "955 N Plum Grove Rd Ste C",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601734784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.