Individual provider Active NPI

Geraldine Wetzel, LCPC

  • Mental Health Counselor
  • Schaumburg, IL
National Provider Identifier
1205353281
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010939
Practice address
650 E Algonquin Rd Ste 108
Schaumburg, IL 60173-3853
Phone
(847) 221-5622
Fax
(847) 221-5688
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 180.010939 Primary

Addresses

Primary practice location

650 E Algonquin Rd Ste 108
Schaumburg, IL 60173-3853

Mailing address

650 E Algonquin Rd Ste 108
Schaumburg, IL 60173-3853
Phone (847) 221-5622

Other practice location 1

650 E Algonquin Rd Ste 108
Schaumburg, IL 60173-3853
Phone (847) 221-5622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bza Behavioral Health, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

650 E Algonquin Rd
Ste 108
Schaumburg, IL 60173
Phone (847) 221-5622

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205353281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD STE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733853",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E ALGONQUIN RD STE 108",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601733853",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 E Algonquin Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601733853",
            "country_code": "US",
            "telephone_number": "847-221-5622",
            "fax_number": "847-221-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "GERALDINE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "180.010939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.