Individual provider Active NPI

Chiralaine C Natschke

  • Professional Counselor
  • Olympia Fields, IL
National Provider Identifier
1619271137
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010761 Issued in IL
Practice address
20121 Crawford Ave
Olympia Fields, IL 60461-1009
Phone
(708) 754-8815
NPI assigned
Dec 23, 2010
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Professional Counselor 101YP2500X 180.010761 IL Primary

Addresses

Primary practice location

20121 Crawford Ave
Olympia Fields, IL 60461-1009

Mailing address

PO Box 746878
Atlanta, GA 30374-6878

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
I20250609002659 IL Practitioner - Mental Health Counselor 4789194754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.010761ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Jun 3, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 4, 2025 Accepting new patients

Locations

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 526-9953

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1619271137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746878",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20121 CRAWFORD AVE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611009",
            "telephone_number": "708-754-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATSCHKE",
        "first_name": "CHIRALAINE",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.