Individual provider Active NPI

Catherine Nemchausky, LPC

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1255890125
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178007936 Issued in IL
Practice address
477 E. Butterfield
Suite 202
Lombard, IL 60148-6164
Phone
(630) 442-7661
Fax
(630) 396-9993
NPI assigned
Mar 19, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 178007936 IL Primary

Addresses

Primary practice location

477 E. Butterfield
Suite 202
Lombard, IL 60148-6164

Mailing address

1 Swallow CT
Woodridge, IL 60517-1717
Phone (630) 886-8652

Other practice location 1

2857 N. Sheffield Ave
Suite 222
Chicago, IL 60657-9213
Phone (630) 442-7661

Other practice location 2

436 N Lake St # 2E
Aurora, IL 60506-4589
Phone (630) 442-7661

Other identifiers 1

IdentifierTypeStateIssuer
1619493855OtherILBLUE CROSS BLUE SHIELD

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
178007936ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Green Root Therapy Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1255890125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SWALLOW CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171717",
            "telephone_number": "630-886-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E. BUTTERFIELD",
            "address_2": "SUITE 202",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486164",
            "telephone_number": "630-442-7661",
            "fax_number": "630-396-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2857 N. Sheffield Ave",
            "address_2": "Suite 222",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606579213",
            "country_code": "US",
            "telephone_number": "630-442-7661",
            "fax_number": "630-396-9993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "436 N Lake St # 2E",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605064589",
            "country_code": "US",
            "telephone_number": "630-442-7661",
            "fax_number": "630-396-9993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMCHAUSKY",
        "first_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178007936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1619493855",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.