Individual provider Active NPI

Wendy Louisa Haas, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1447718952
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180013766 Issued in IL
Practice address
2118 W Belle Plaine Ave Apt 1
Chicago, IL 60618-3004
Phone
(312) 890-2422
NPI assigned
Mar 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180013766 IL Primary
Professional Counselor 101YP2500X 1447718952 IL

Addresses

Primary practice location

2118 W Belle Plaine Ave Apt 1
Chicago, IL 60618-3004

Mailing address

2118 W Belle Plaine Ave Apt 1
Chicago, IL 60618-3004
Phone (312) 890-2422

Other practice location 1

1700 W Irving Park Rd Ste 205B
Chicago, IL 60613-2599
Phone (312) 890-2422

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
1447718952ILMDProfessional Counselor
180013766ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1447718952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 W BELLE PLAINE AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183004",
            "telephone_number": "312-890-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 W BELLE PLAINE AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183004",
            "telephone_number": "312-890-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Irving Park Rd Ste 205B",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132599",
            "country_code": "US",
            "telephone_number": "312-890-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAS",
        "first_name": "WENDY",
        "middle_name": "LOUISA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013766",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "1447718952",
            "primary": false
        }
    ],
    "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 Dec 13, 2021; 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.