Michelle Duda, MS, LCPC, CADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180012359 Issued in IL

Practice address

1041 N Western Ave FL 1
Chicago, IL 60622-3571

Phone

(312) 566-8417

NPI assigned

Jan 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intentional Living LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1568091098
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1215444906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N WESTERN AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223571",
            "telephone_number": "312-566-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N WESTERN AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223571",
            "telephone_number": "312-566-8417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 W Armitage Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606474244",
            "country_code": "US",
            "telephone_number": "773-252-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 W Chestnut St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606425445",
            "country_code": "US",
            "telephone_number": "877-530-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDA",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS, LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "33720",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178011972",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180012359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Wayles Duck
• Melissa Duckett, DNP, APRN, AG-ACNP-B
• Hannah Duckworth, PA-C
• Jane Elizabeth Duda, APN,CRNA
• Maria Duda, LCSW
• Rajesh Dudani, MD
• Katherine Dudas-Szewczyk, DMD
• Bohdan George Dudas, M.D.
• Cheryl Dudeck
• Felicia Anne Dudek, MS LCPC CADC

• Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.