Organization Active NPI

One Breath at a Time Counseling, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1598535502
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ONE BREATH AT A TIME COUNSELING, PLLC
Practice address
6347 N Wayne Ave Apt 2N
Chicago, IL 60660-1611
Phone
(312) 833-0655
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mathew Steven Diedrich, LCSW, CADCNPI 1457906521
Title
Owner and Therapist
Phone
(312) 833-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6347 N Wayne Ave Apt 2N
Chicago, IL 60660-1611

Mailing address

6347 N Wayne Ave Apt 2N
Chicago, IL 60660-1611
Phone (312) 833-0655

Other practice location 1

636 Church St Ste 520
Evanston, IL 60201-4581
Phone (312) 833-0655

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1598535502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 N WAYNE AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601611",
            "telephone_number": "312-833-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6347 N WAYNE AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601611",
            "telephone_number": "312-833-0655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Church St Ste 520",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602014581",
            "country_code": "US",
            "telephone_number": "312-833-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE BREATH AT A TIME COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "DIEDRICH",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "312-833-0655",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "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 Feb 12, 2025; 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.