Active NPI
Rebecca Balch
- Professional Counselor
- Chicago, IL
National Provider Identifier
1467227348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019608
- 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
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 |
|---|---|---|---|---|
| Professional Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019608 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMS Clinical Services PLLC | Multi-Specialty | Current | 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.