Active NPI
Alice Belgrade, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1477747210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-002740
- Practice address
- 4801 W Peterson Ave
Suite 403
Chicago, IL 60646-5713 - Phone
- (773) 407-1121
- NPI assigned
- Sep 5, 2007
- Last updated
- Nov 23, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180-002740 | IL | |
| Professional Counselor | 101YP2500X | 180-002740 | IL | Primary |
Addresses
Primary practice location
4801 W Peterson Ave
Suite 403
Chicago, IL 60646-5713
Mailing address
4801 W Peterson Ave
Suite 403
Chicago, IL 60646-5713
Phone (773) 407-1121
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 |
|---|---|---|---|
| 180-002740 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322006400000",
"number": "1477747210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "SUITE 403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "773-407-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "SUITE 403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "773-407-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELGRADE",
"first_name": "ALICE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2011-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180-002740",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-002740",
"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 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.