Active NPI
Antoinette Josephina Zuchel, LCPC
- Mental Health Counselor
- Naperville, IL
National Provider Identifier
1649485228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1555 N Naperville Wheaton Rd
Ste 103
Naperville, IL 60563-1557 - Phone
- (630) 415-0343
- NPI assigned
- May 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
1555 N Naperville Wheaton Rd
Ste 103
Naperville, IL 60563-1557
Mailing address
412 Belden Ave
Glendale Heights, IL 60139-2510
Phone (630) 415-0343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232564 | Other | IL | BLUE CROSS BLUE SHEILD # |
Other names 1
- Mrs. Tina Josephina Zuchel
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 |
|---|---|---|---|
| 180-002687 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649485228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 BELDEN AVE",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601392510",
"telephone_number": "630-415-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 N NAPERVILLE WHEATON RD",
"address_2": "STE 103",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631557",
"telephone_number": "630-415-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCHEL",
"first_name": "ANTOINETTE",
"middle_name": "JOSEPHINA",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD #",
"identifier": "02232564",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "ZUCHEL",
"middle_name": "JOSEPHINA",
"prefix": "MRS.",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.