Active NPI
Joseph Anthony Deasa, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1407358716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.010869
- Practice address
- 2653 W Ogden Ave FL 2
Chicago, IL 60608-1647 - Phone
- (773) 257-6672
- Fax
- (773) 257-5330
- NPI assigned
- Mar 2, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.010869 | IL | Primary |
Addresses
Primary practice location
2653 W Ogden Ave FL 2
Chicago, IL 60608-1647
Mailing address
6606 W Windsor Ave Apt Q1
Berwyn, IL 60402-3594
Phone (773) 516-0927
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 |
|---|---|---|---|
| 180.010869 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1407358716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6606 W WINDSOR AVE APT Q1",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023594",
"telephone_number": "773-516-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2653 W OGDEN AVE FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081647",
"telephone_number": "773-257-6672",
"fax_number": "773-257-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEASA",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010869",
"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 Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.