Active NPI
Bonnie Gail Bluestein
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1447562897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.002253
- Practice address
- 333 S State St
Chicago, IL 60604-3900 - Phone
- (312) 744-0993
- Fax
- (312) 744-7737
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.002253 | IL | Primary |
Addresses
Primary practice location
333 S State St
Chicago, IL 60604-3900
Mailing address
333 S State St
Chicago, IL 60604-3900
Phone (312) 744-0993
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 |
|---|---|---|---|
| 180.002253 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Chicago | Past | Accepting new patients | |
| City of Chicago | 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.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1205147717
-
- Preferred Provider Organization
- Chicago, IL
- NPI 1538477260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278979200000",
"number": "1447562897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043900",
"telephone_number": "312-744-0993",
"fax_number": "312-744-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043900",
"telephone_number": "312-744-0993",
"fax_number": "312-744-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUESTEIN",
"first_name": "BONNIE",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.002253",
"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 Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.