Active NPI
Natalie R Breitmeyer, LCPC, R-DMT
- Professional Counselor
- Chicago, IL
National Provider Identifier
1225680986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.013989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014230 | IL | MD | Counselor |
| 180.013989 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Softwolf Healing PLLC | Professional | Current | Accepting new patients |
| Wildflower Center for Emotional Health PLLC | Past | 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.
-
- Professional Counselor
- Chicago, IL
- NPI 1932979200
-
- Clinical Social Worker
- Chicago, IL
- NPI 1114342599
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.