Individual provider Active NPI

Rebecca Balch

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1467227348
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.019608 Issued in IL
Practice address
815 W Van Buren St Ste 302
Chicago, IL 60607-3593
Phone
(630) 974-6602
Fax
(630) 487-2411
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 178.019608 IL Primary

Addresses

Primary practice location

815 W Van Buren St Ste 302
Chicago, IL 60607-3593

Mailing address

1100 Jorie Blvd Ste 300
Oak Brook, IL 60523-2219
Phone (630) 974-6602

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
178.019608ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Clinical Services PLLC Multi-Specialty CurrentSince Dec 4, 2023 Accepting new patients

Locations

815 W Van Buren St
Ste 302
Chicago, IL 60607

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1467227348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JORIE BLVD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232219",
            "telephone_number": "630-974-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W VAN BUREN ST STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073593",
            "telephone_number": "630-974-6602",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019608",
            "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 Nov 20, 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.