Individual provider Active NPI

Elise Magers, M.DIV., L.C.P.C.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1205956562
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
112 E Chestnut St
Chicago, IL 60611-2014
Phone
(312) 787-8425
Fax
(312) 943-4459
NPI assigned
Mar 30, 2007
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
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

112 E Chestnut St
Chicago, IL 60611-2014

Mailing address

55 E Erie St
#3905
Chicago, IL 60611-2798
Phone (312) 654-8481

Other identifiers 1

IdentifierTypeStateIssuer
02215636OtherILBCBS

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
180001156ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Professional Associates LTD 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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205956562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E ERIE ST",
            "address_2": "#3905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112798",
            "telephone_number": "312-654-8481",
            "fax_number": "312-654-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E CHESTNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112014",
            "telephone_number": "312-787-8425",
            "fax_number": "312-943-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGERS",
        "first_name": "ELISE",
        "credential": "M.DIV., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02215636",
            "state": "IL"
        }
    ],
    "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 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.