Organization Active NPI

Shaffer Counseling Solutions P.C.

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1265705693
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149014848 Issued in IL
Legal business name
SHAFFER COUNSELING SOLUTIONS P.C.
Practice address
2000 N Racine Ave
Suite 2010
Chicago, IL 60614-4045
Phone
(847) 730-9738
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mr. Matthew Truman Shaffer, LCSW
Title
Licensed Clinical Social Worker
Phone
(847) 730-9738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149014848 IL Primary

Addresses

Primary practice location

2000 N Racine Ave
Suite 2010
Chicago, IL 60614-4045

Mailing address

2000 N Racine Ave
Suite 2010
Chicago, IL 60614-4045
Phone (847) 730-9738

National Provider Directory

National Provider Directory

Locations

2000 N Racine Ave
Ste 2010
Chicago, IL 60614
Phone (847) 730-9738

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1265705693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N RACINE AVE",
            "address_2": "SUITE 2010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144045",
            "telephone_number": "847-730-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N RACINE AVE",
            "address_2": "SUITE 2010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144045",
            "telephone_number": "847-730-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFFER COUNSELING SOLUTIONS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TRUMAN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-730-9738",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149014848",
            "primary": true
        }
    ],
    "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 Feb 15, 2012; 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.