Active NPI
Jennifer Andler
- Professional Counselor
- Chicago, IL
National Provider Identifier
1508697129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178020484
- Practice address
- 2000 N Racine Ave
#3300
Chicago, IL 60614 - Phone
- (773) 413-9523
- NPI assigned
- Aug 13, 2024
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178020484 | IL | Primary |
Addresses
Primary practice location
2000 N Racine Ave
#3300
Chicago, IL 60614
Mailing address
2000 N Racine Ave
#3300
Chicago, IL 60614
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 |
|---|---|---|---|
| 178020484 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbie Kelley, LLC | Current | Accepting new patients |
Locations
2000 N Racine Ave
Ste 3300
Chicago, IL 60614
Phone (773) 413-9523
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1508697129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 N RACINE AVE",
"address_2": "#3300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N RACINE AVE",
"address_2": "#3300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-413-9523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDLER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178020484",
"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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.