Active NPI
Abigail Poniente Monsalud
- Professional Counselor
- Chicago, IL
National Provider Identifier
1306683636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178020292
- Practice address
- 2464 N Clybourn Ave Ste 210
Chicago, IL 60614-1918 - Phone
- (773) 888-1681
- NPI assigned
- Jul 12, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178020292 | IL | Primary |
Addresses
Primary practice location
2464 N Clybourn Ave Ste 210
Chicago, IL 60614-1918
Mailing address
2464 N Clybourn Ave Ste 210
Chicago, IL 60614-1918
Phone (773) 888-1681
Other practice location 1
2001 W North Ave
Chicago, IL 60647-5413
Phone (200) 160-6475
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 |
|---|---|---|---|
| 178020292 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1306683636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2464 N CLYBOURN AVE STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141918",
"telephone_number": "773-888-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2464 N CLYBOURN AVE STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141918",
"telephone_number": "773-888-1681"
}
],
"practiceLocations": [
{
"address_1": "2001 W North Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606475413",
"country_code": "US",
"telephone_number": "200-160-6475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PONIENTE MONSALUD",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178020292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Ponder Mental Wellness, PLLC
- Haritha Ponduri, MSN, APRN, FNP-C
- Pong Medical Center LLC
- Supachai S Pongched, M.D.
- Jacqueline Ann Pongracic, MD
- Natalya Igorevna Ponomareva, MD
- Ponos Care Illinois, PLLC
- Maria del Carmen Pons Torres, MD, PHD
- Michael Anthony Pontarelli, D.C.
- Vittoria Madia Pontarelli, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.