Active NPI
Anna E Walters, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1568137123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.017196
- Practice address
- 122 S Michigan Ave Ste 1433
Chicago, IL 60603-6169 - Phone
- (847) 529-8300
- NPI assigned
- Aug 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 178.017196 | IL | Primary |
Addresses
Primary practice location
122 S Michigan Ave Ste 1433
Chicago, IL 60603-6169
Mailing address
1033 University PL Ste 330
Evanston, IL 60201-3156
Phone (847) 529-8300
Other practice location 1
5225 Old Orchard Rd Ste 37
Skokie, IL 60077-1027
Phone (847) 529-8300
Other practice location 2
1033 University Pl Ste 330
Evanston, IL 60201-3156
Phone (847) 529-8300
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 |
|---|---|---|---|
| 178.017196 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skylight Counseling Center | Multi-Specialty | 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": "1628899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1568137123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 UNIVERSITY PL STE 330",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013156",
"telephone_number": "847-529-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 S MICHIGAN AVE STE 1433",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606036169",
"telephone_number": "847-529-8300"
}
],
"practiceLocations": [
{
"address_1": "5225 Old Orchard Rd Ste 37",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600771027",
"country_code": "US",
"telephone_number": "847-529-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1033 University Pl Ste 330",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602013156",
"country_code": "US",
"telephone_number": "847-529-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "ANNA",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-14",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.017196",
"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 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.