Individual provider Active NPI

Frank Michael Congine, LCPC, LPC, CMHC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1508337999
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0094986 Issued in CO
Practice address
70 W Madison St
Chicago, IL 60602-4252
Phone
(312) 735-3220
NPI assigned
Dec 10, 2018
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11041667-6004 UT
Professional Counselor 101YP2500X 180.009229 IL
Professional Counselor 101YP2500X LPC.0094986 CO Primary

Addresses

Primary practice location

70 W Madison St
Chicago, IL 60602-4252

Mailing address

1139 23Rd St
Manhattan Beach, CA 90266-2927
Phone (312) 735-3320

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
11041667-6004UTMDMental Health Counselor
LPC.0094986COMDProfessional Counselor
180.009229ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1508337999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 23RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662927",
            "telephone_number": "312-735-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024252",
            "telephone_number": "312-735-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGINE",
        "first_name": "FRANK",
        "middle_name": "MICHAEL",
        "credential": "LCPC, LPC, CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11041667-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009229",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0094986",
            "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 Dec 10, 2018; 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.