Individual provider Active NPI

Natalie R Breitmeyer, LCPC, R-DMT

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1225680986
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013989 Issued in IL
Practice address
1641 S Miller St
Chicago, IL 60608-2311
Phone
(773) 217-0746
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.013989 IL Primary
Counselor 101Y00000X 178.014230 IL

Addresses

Primary practice location

1641 S Miller St
Chicago, IL 60608-2311

Mailing address

1641 S Miller St
Chicago, IL 60608-2311
Phone (206) 949-2892

Other practice location 1

820 N Orleans St Ste 350
Chicago, IL 60610-3145
Phone (312) 809-0298

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
178.014230ILMDCounselor
180.013989ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Softwolf Healing PLLC Professional CurrentSince Jan 14, 2024 Accepting new patients
Wildflower Center for Emotional Health PLLC PastSince Feb 13, 2022 Accepting new patients

Locations

1440 W Taylor St
Chicago, IL 60607
Phone (612) 263-9334

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1225680986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 S MILLER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082311",
            "telephone_number": "206-949-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 S MILLER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082311",
            "telephone_number": "773-217-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 N Orleans St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606103145",
            "country_code": "US",
            "telephone_number": "312-809-0298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREITMEYER",
        "first_name": "NATALIE",
        "middle_name": "R",
        "credential": "LCPC, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013989",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.014230",
            "primary": false
        }
    ],
    "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 17, 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.