Individual provider Active NPI

Laura Allison Fiene

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1295375210
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.015596 Issued in IL
Practice address
1579 N Milwaukee Ave Ste 325
Chicago, IL 60622-2765
Phone
(773) 770-5590
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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 178.015596 IL Primary

Addresses

Primary practice location

1579 N Milwaukee Ave Ste 325
Chicago, IL 60622-2765

Mailing address

1579 N Milwaukee Ave Ste 325
Chicago, IL 60622-2765

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
178.015596ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wicker Park Therapy Group, PLLC CurrentSince Dec 24, 2023 Accepting new patients
Pure Health Center, Inc Professional PastSince Jan 1, 2020 Accepting new patients

Locations

1579 N Milwaukee Ave
Ste 325
Chicago, IL 60622
Phone (630) 323-7500

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1295375210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE STE 325",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 N MILWAUKEE AVE STE 325",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222765",
            "telephone_number": "773-770-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIENE",
        "first_name": "LAURA",
        "middle_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015596",
            "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 Dec 20, 2023; 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.