Individual provider Active NPI

Qin Chen, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1285271056
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014575 Issued in IL
Practice address
645 N Michigan Ave Ste 410
Chicago, IL 60611-5800
Phone
(773) 614-0536
NPI assigned
Nov 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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 180014575 IL Primary

Addresses

Primary practice location

645 N Michigan Ave Ste 410
Chicago, IL 60611-5800

Mailing address

645 N Michigan Ave Ste 410
Chicago, IL 60611-5800
Phone (773) 614-0536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000035 IL Practitioner - Mental Health Counselor 5395284574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 N Michigan Ave
Suite 1203
Chicago, IL 60602-3724
Phone (773) 614-0536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180014575ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JC Therapy PLLC Professional CurrentSince Jun 5, 2022 Accepting new patients
Chicago Psychoanalytic Institute PastSince Sep 17, 2023 Accepting new patients

Locations

30 N Michigan Ave
Ste 1203
Chicago, IL 60602
Phone (773) 495-8905

645 N Michigan Ave
Ste 410
Chicago, IL 60611
Phone (312) 202-0755

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.

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1285271056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115800",
            "telephone_number": "773-614-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115800",
            "telephone_number": "773-614-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "QIN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.