Patrick Prewit, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.019840 Issued in IL

Practice address

4711 N Broadway St Ste 102
Chicago, IL 60640-4908

Phone

(773) 234-3212

NPI assigned

Feb 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Brianna Sorensen LCSW PCGroup PAC ID 5092092270, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brianna Sorensen, LCSW, PC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1588064000
  Medicare reassignment Care Compare group NPD
• Practical Magic Healing

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1033972948
  NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1447015490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 W BALMORAL AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408468",
            "telephone_number": "254-977-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 N BROADWAY ST STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404908",
            "telephone_number": "773-234-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWIT",
        "first_name": "PATRICK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Prevenslik, DDS
• Prevention Incorporated
• Preventive Cardiovascular Services & Health Services
• Preventive Cardiovascular Services SC
• Nicole M Previs, LCSW
• Mary Frances Prewitt, APN
• Charles Edward Preyar, L.C.S.W.
• Brandye Janat Preyer, CRNA
• Benjamin Allen Preyss, M.D.
• Melissa Alia Preyss, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.