Active NPI
Craig Steven Rodich, LCSW
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
National Provider Identifier
1306212063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 149009162
- Practice address
- 134 N. Lasalle
Suite 400
Chicago, IL 60602-1048 - Phone
- (847) 493-3704
- Fax
- (847) 493-3714
- NPI assigned
- Aug 18, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 149009162 | IL | Primary |
Addresses
Primary practice location
134 N. Lasalle
Suite 400
Chicago, IL 60602-1048
Mailing address
134 N. Lasalle
Suite 400
Chicago, IL 60602
Phone (847) 493-3704
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149009162 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1306212063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 N. LASALLE",
"address_2": "SUITE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60602",
"telephone_number": "847-493-3704",
"fax_number": "847-493-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 N. LASALLE",
"address_2": "SUITE 400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021048",
"telephone_number": "847-493-3704",
"fax_number": "847-493-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODICH",
"first_name": "CRAIG",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "149009162",
"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 Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.