Individual provider Active NPI

Chelsea Ohler

  • Professional Counselor
  • Bradley, IL
National Provider Identifier
1609461979
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.012430 Issued in IL
Practice address
525 E North St Ste B
Bradley, IL 60915-1186
Phone
(815) 933-0667
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 178.012430 IL Primary

Addresses

Primary practice location

525 E North St Ste B
Bradley, IL 60915-1186

Mailing address

728 Double Jack St Apt C
Bourbonnais, IL 60914-8600
Phone (309) 275-3453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320000429 IL Practitioner - Mental Health Counselor 3274984737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Rodasi LLCGroup PAC ID 0749418630, 34 clinicians

Practice addresses (Care Compare)

2500 W Higgins Rd
Suite 105
Hoffman Estates, IL 60169-2040
Phone (888) 870-1775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.012430ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rodasi LLC Professional CurrentSince Feb 1, 2024 Accepting new patients

Locations

525 E North St
Ste B
Bradley, IL 60915
Phone (815) 802-7787

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1609461979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 DOUBLE JACK ST APT C",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609148600",
            "telephone_number": "309-275-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E NORTH ST STE B",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151186",
            "telephone_number": "815-933-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLER",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradley, IL

Sources for this page

Verify at the official NPI Registry.