NPIMap

Organization Active NPI

Tracy Nieman LLC

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1356975965
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRACY NIEMAN LLC
Practice address
622 Davis St
Evanston, IL 60201-4491
Phone
(773) 294-0176
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy NiemanNPI 1184279291
Title
Business Owner of LCC
Phone
(773) 551-1235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

622 Davis St
Evanston, IL 60201-4491

Mailing address

4827 N Rockwell St Apt 2E
Chicago, IL 60625-2840

National Provider Directory

National Provider Directory

Locations

622 Davis St
Evanston, IL 60201
Phone (773) 294-0176

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1356975965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 N ROCKWELL ST APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014491",
            "telephone_number": "773-294-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY NIEMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "NIEMAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "BUSINESS OWNER OF LCC",
        "authorized_official_telephone_number": "773-551-1235"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.