Active NPI
Meredith Burnell Patterson, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1245706258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180015427
- Practice address
- 10944 S Emerald Ave
Chicago, IL 60628-3124 - Phone
- (872) 333-7749
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 180015427 | IL | Primary |
| Professional Counselor | 101YP2500X | 178011901 | IL |
Addresses
Primary practice location
10944 S Emerald Ave
Chicago, IL 60628-3124
Mailing address
10944 S Emerald Ave
Chicago, IL 60628-3124
Phone (872) 333-7749
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 |
|---|---|---|---|
| 178011901 | IL | MD | Professional Counselor |
| 180015427 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Light Counseling PLLC | Current | 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.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1891585345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705104000000",
"number": "1245706258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10944 S EMERALD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606283124",
"telephone_number": "872-333-7749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10944 S EMERALD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606283124",
"telephone_number": "872-333-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MEREDITH",
"middle_name": "BURNELL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2024-01-13",
"certification_date": "2024-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180015427",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178011901",
"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 Jan 13, 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.