Alison Zdarsky

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.017829 Issued in IL

Practice address

3545 Lake Ave Ste 203
Wilmette, IL 60091-1058

Phone

(847) 730-3042

NPI assigned

May 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Courage to Connect Therapeutic Center

  dba Courage to Connect Mental Health Center

  • Clinical Psychologist
  • Glenview, IL
  • NPI 1154768471
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1417692666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 RAVINE WAY STE 600",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257615",
            "telephone_number": "847-730-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE STE 203",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-730-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDARSKY",
        "first_name": "ALISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1154768471",
            "affiliation": "N",
            "address_1": "2400 Ravine Way Ste 600",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600257615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen Faith Yudell, P.T.
• Izma Gul Zahir, PHARMD
• Jill Eileen Zakon Leonard
• Mary McAboy Zashin, PH.D.
• Thomas F Zatorski, MD
• Fangxi Zhou, L.AC
• Marny Murphy Zimmer, MSW
• Talia Elyse Zimmerman, OTD
• Alexandra Katherine Zugaj
• Mark Lawrence Zukowski, MD

• Professional Counselor in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.