Active NPI
Rachel H Prendergast, LCPC
- Professional Counselor
- Evanston, IL
National Provider Identifier
1306094933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180001725
- Practice address
- 1599 Maple Ave
Evanston, IL 60201-4367 - Phone
- (847) 687-1271
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180001725 | IL | Primary |
Addresses
Primary practice location
1599 Maple Ave
Evanston, IL 60201-4367
Mailing address
9357 Drake Ave
Evanston, IL 60203-1406
Phone (847) 687-1271
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 18, 2024 through Mar 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180001725 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Artful Intention | 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 and National Provider Directory roles.
-
- Mental Health Counselor
- Wilmette, IL
- NPI 1124615463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1306094933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9357 DRAKE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602031406",
"telephone_number": "847-687-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 MAPLE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014367",
"telephone_number": "847-687-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "RACHEL",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180001725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
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- Preferred Dental, P.C.
- Preferred Dentistry Associates,P.C.
- Premier Dental Care Illinois Inc
- Michael Prendergast, MD
- Presbyterian Home (Home Health Agency Of Presbyterian Homes)
- Presbyterian Homes
- Presbyterian Homes (Hospice Of Presbyterian Homes)
- Presbyterian Homes Outpatient Rehabilitation Agency LLC
- Presbyterian Homes Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.