Individual provider Active NPI

Christine E Badger, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1255966537
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015156 Issued in IL
Practice address
4001 N Wolcott Ave
Chicago, IL 60613-2411
Phone
(773) 789-9775
NPI assigned
Mar 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 178.015768 IL
Professional Counselor 101YP2500X 180.015156 IL Primary

Addresses

Primary practice location

4001 N Wolcott Ave
Chicago, IL 60613-2411

Mailing address

4001 N Wolcott Ave
Chicago, IL 60613-2411
Phone (773) 789-9775

Other practice location 1

737 N Michigan Ave Ste 2130
Chicago, IL 60611-6747
Phone (773) 789-9775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2024 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.015768ILMDProfessional Counselor
180.015156ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Semillas Counseling PLLC Professional CurrentSince Mar 1, 2020 Accepting new patients

Locations

4001 N Wolcott Ave
Chicago, IL 60613
Phone (773) 789-9775

737 N Michigan Ave
Ste 2130
Chicago, IL 60611
Phone (312) 416-6191

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.

NPI Registry JSON

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1255966537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N WOLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132411",
            "telephone_number": "773-789-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N WOLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132411",
            "telephone_number": "773-789-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 N Michigan Ave Ste 2130",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606116747",
            "country_code": "US",
            "telephone_number": "773-789-9775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADGER",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015768",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.