Active NPI
Jacqueline Ritz, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1639698772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180012578
- Practice address
- 310 W Chicago Ave
Chicago, IL 60654-5106 - Phone
- (312) 943-6545
- Fax
- (708) 362-6217
- NPI assigned
- Sep 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178012485 | IL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 178012485 | IL | |
| Mental Health Counselor | 101YM0800X | 178012485 | IL | |
| Professional Counselor | 101YP2500X | 178012485 | IL | |
| Professional Counselor | 101YP2500X | 180012578 | IL | Primary |
Addresses
Primary practice location
310 W Chicago Ave
Chicago, IL 60654-5106
Mailing address
310 W Chicago Ave
Chicago, IL 60654-5106
Phone (312) 943-6545
Other names 1
- Jacqueline Zartler
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 |
|---|---|---|---|
| 178012485 | IL | MD | Mental Health Counselor |
| 180012578 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1639698772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545106",
"telephone_number": "312-943-6545",
"fax_number": "708-362-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545106",
"telephone_number": "312-943-6545",
"fax_number": "708-362-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITZ",
"first_name": "JACQUELINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-10",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178012485",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "178012485",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178012485",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178012485",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180012578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "ZARTLER",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.