Individual provider Active NPI

Wendy Hannah Rothaar, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1548212483
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2101 W Rice St
Unit 103
Chicago, IL 60622-5038
Phone
(773) 278-6373
NPI assigned
May 17, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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 IL Primary

Addresses

Primary practice location

2101 W Rice St
Unit 103
Chicago, IL 60622-5038

Mailing address

2101 W Rice St
Unit 103
Chicago, IL 60622-5038
Phone (773) 412-4592

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
180005059ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1548212483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W RICE ST",
            "address_2": "UNIT 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225038",
            "telephone_number": "773-412-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W RICE ST",
            "address_2": "UNIT 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225038",
            "telephone_number": "773-278-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHAAR",
        "first_name": "WENDY",
        "middle_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "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 Oct 17, 2007; 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.