Individual provider Active NPI

Carolyn Gail Schneider, A.M.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1497972814
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001970 Issued in IL
Practice address
1000 W Diversey Pkwy
Suite 275
Chicago, IL 60614-1879
Phone
(312) 458-9679
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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 180-001970 IL Primary

Addresses

Primary practice location

1000 W Diversey Pkwy
Suite 275
Chicago, IL 60614-1879

Mailing address

1000 W Diversey Pkwy
Suite 275
Chicago, IL 60614-1879
Phone (773) 281-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 30, 2026 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180-001970ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Counseling Associates Past Accepting new patients

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1497972814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W DIVERSEY PKWY",
            "address_2": "SUITE 275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141879",
            "telephone_number": "773-281-7200",
            "fax_number": "773-281-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W DIVERSEY PKWY",
            "address_2": "SUITE 275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141879",
            "telephone_number": "312-458-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "CAROLYN",
        "middle_name": "GAIL",
        "credential": "A.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.