Active NPI
George G Minor, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1598238529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.014386
- Practice address
- 5340 N Clark St Ste 212
Chicago, IL 60640-2120 - Phone
- (773) 896-6797
- NPI assigned
- Jan 2, 2019
- Sex
- Male
- 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 | 178.014386 | IL | Primary |
Addresses
Primary practice location
5340 N Clark St Ste 212
Chicago, IL 60640-2120
Mailing address
5724 N Hermitage Ave
Chicago, IL 60660-3907
Phone (773) 896-6797
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 |
|---|---|---|---|
| 178.014386 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1598238529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5724 N HERMITAGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606603907",
"telephone_number": "773-896-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 N CLARK ST STE 212",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402120",
"telephone_number": "773-896-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "GEORGE",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.014386",
"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 Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.