Individual provider Active NPI

David Michalowski, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1538583265
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008546 Issued in IL
Practice address
300 W Adams St
#514
Chicago, IL 60606-5101
Phone
(312) 578-9990
NPI assigned
Feb 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.008546 IL Primary

Addresses

Primary practice location

300 W Adams St
#514
Chicago, IL 60606-5101

Mailing address

1919 N Drake Ave
Unit E
Chicago, IL 60647-6278
Phone (630) 621-5361

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
180.008546ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Agave Studio, LLC 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": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1538583265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 N DRAKE AVE",
            "address_2": "UNIT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476278",
            "telephone_number": "630-621-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST",
            "address_2": "#514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065101",
            "telephone_number": "312-578-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALOWSKI",
        "first_name": "DAVID",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008546",
            "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 Feb 17, 2014; 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.