Active NPI
Eliza Maria Adamczewska
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1619695657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 208.001005
- Practice address
- 3951 N Meade Ave
Chicago, IL 60634-2889 - Phone
- (773) 297-7094
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 208.001005 | IL | Primary |
Addresses
Primary practice location
3951 N Meade Ave
Chicago, IL 60634-2889
Mailing address
4219 N Lincoln Ave
Chicago, IL 60618-2901
Phone (773) 537-3122
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eliza.adamczewska@thresholds.org | Direct | |
| Direct Messaging Address | eliza.adamczewska@thresholds.org | Direct |
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 |
|---|---|---|---|
| 208.001005 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1619695657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606182901",
"telephone_number": "773-537-3122",
"fax_number": "773-472-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3951 N MEADE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342889",
"telephone_number": "773-297-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMCZEWSKA",
"first_name": "ELIZA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "208.001005",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eliza.adamczewska@thresholds.org",
"affiliation": "N",
"endpointDescription": "Home office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Directive Messaging Address",
"address_1": "3951 N Meade Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606342889",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eliza.adamczewska@thresholds.org",
"affiliation": "N",
"endpointDescription": "Home Work Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "3951 N Meade Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606342889",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 16, 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.