Individual provider Active NPI

Jeannie Rosario Martinez, LPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1497508816
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178017214 Issued in IL
Practice address
155 N Michigan Ave Ste 450
Chicago, IL 60601-7939
Phone
(872) 395-8091
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178017214 IL Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 450
Chicago, IL 60601-7939

Mailing address

155 N Michigan Ave Ste 450
Chicago, IL 60601-7939
Phone (872) 395-8091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250204000756 IL Practitioner - Mental Health Counselor 6800326042 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178017214ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cira Center for Behavioral Health PC CurrentSince Jan 28, 2025 Accepting new patients
Glaser and Associates LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

155 N Michigan Ave
Ste 450
Chicago, IL 60601
Phone (872) 395-8091

1431 N Claremont Ave
Fl 1
Chicago, IL 60622
Phone (312) 491-5498

1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498

1011 Lake St
Ste 307
Oak Park, IL 60301
Phone (872) 395-8091

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1497508816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017939",
            "telephone_number": "872-395-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017939",
            "telephone_number": "872-395-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JEANNIE",
        "middle_name": "ROSARIO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178017214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.