Individual provider Active NPI

Barbara Ann Smurzynski, L.C.P.C.

  • Mental Health Counselor
  • Tinley Park, IL
National Provider Identifier
1386944510
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008555 Issued in IL
Practice address
17255 Oak Park Ave # Ue
Tinley Park, IL 60477-3401
Phone
(708) 633-4533
Fax
(708) 633-4531
NPI assigned
Oct 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178006954 IL
Mental Health Counselor 101YM0800X 180.008555 IL Primary

Addresses

Primary practice location

17255 Oak Park Ave # Ue
Tinley Park, IL 60477-3401

Mailing address

13221 Forestview LN
Crestwood, IL 60445-1307
Phone (708) 712-0747

Other identifiers 2

IdentifierTypeStateIssuer
178006954OtherILLICENSED PROFESSIONAL COUNSELOR
180.008555OtherILLICENSED CLINICAL PROFESSIONAL COUNSELOR

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
180.008555ILMDMental Health Counselor
178006954ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Doreen a. Zaborac & Associates, Inc. PastSince Jan 13, 2013 Accepting new patients
Choice Counseling and Consulting, Inc. Past Accepting new patients

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1386944510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13221 FORESTVIEW LN",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451307",
            "telephone_number": "708-712-0747",
            "fax_number": "708-633-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17255 OAK PARK AVE # UE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773401",
            "telephone_number": "708-633-4533",
            "fax_number": "708-633-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMURZYNSKI",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178006954",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "178006954",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180.008555",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.