Individual provider Active NPI

Ajeet S Charate, LCPC, CADC, BCN

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1497893945
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005140 Issued in IL
Practice address
1260 Iroquois Ave
Suite 300
Naperville, IL 60563-1689
Phone
(630) 369-4152
Fax
(630) 369-4629
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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 180005140 IL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

1260 Iroquois Ave
Suite 300
Naperville, IL 60563-1689

Mailing address

62 W Washington St
Joliet, IL 60432-4331
Phone (815) 722-4384

Other identifiers 1

IdentifierTypeStateIssuer
180005140OtherILLICENSE

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
180005140ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1497893945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W WASHINGTON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324331",
            "telephone_number": "815-722-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 IROQUOIS AVE",
            "address_2": "SUITE 300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631689",
            "telephone_number": "630-369-4152",
            "fax_number": "630-369-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARATE",
        "first_name": "AJEET",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCPC, CADC, BCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005140",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "180005140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.