Individual provider Active NPI

Teresa Sit, LPC, ATR

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1558039305
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.013750 Issued in IL
Practice address
2302 W North Ave Ste 1E
Chicago, IL 60647-9755
Phone
(312) 736-2084
NPI assigned
Sep 4, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 178.013750 IL Primary

Addresses

Primary practice location

2302 W North Ave Ste 1E
Chicago, IL 60647-9755

Mailing address

2640 W Cermak Rd
Chicago, IL 60608-3599
Phone (708) 945-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.013750ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1558039305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083599",
            "telephone_number": "708-945-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W NORTH AVE STE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479755",
            "telephone_number": "312-736-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIT",
        "first_name": "TERESA",
        "credential": "LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.