Individual provider Active NPI

Ashlyn Jill Zinck, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1417467721
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013993 Issued in IL
Practice address
5145 N Clark St # 1061
Chicago, IL 60640-2829
Phone
(502) 517-6054
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.013993 IL Primary

Addresses

Primary practice location

5145 N Clark St # 1061
Chicago, IL 60640-2829

Mailing address

1443 W Waveland Ave Apt 2
Chicago, IL 60613-3727
Phone (502) 517-6054

Other names 1

  • Ashlyn Jill Paden Former name

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
180.013993ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe and Be Therapy PLLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

5145 N Clark St
#1061
Chicago, IL 60640
Phone (502) 517-6054

Organizations & group practices 1

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1417467721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 W WAVELAND AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133727",
            "telephone_number": "502-517-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CLARK ST # 1061",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402829",
            "telephone_number": "502-517-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINCK",
        "first_name": "ASHLYN",
        "middle_name": "JILL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLYN",
            "last_name": "PADEN",
            "middle_name": "JILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 13, 2023; 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.