Active NPI
Dara Altshuler, LPC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1649695982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178009340
- Practice address
- 935 W Chestnut St
Suite 201, Urban Balance
Chicago, IL 60642-5441 - Phone
- (312) 757-0043
- Fax
- (312) 226-9082
- NPI assigned
- Feb 24, 2014
- 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 | 178009340 | IL | Primary |
Addresses
Primary practice location
935 W Chestnut St
Suite 201, Urban Balance
Chicago, IL 60642-5441
Mailing address
2325 N Orchard St
Chicago, IL 60614-3303
Phone (312) 914-0801
Other practice location 1
307 N Michigan Ave
Chicago, IL 60601-5311
Phone (312) 757-0043
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 |
|---|---|---|---|
| 178009340 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dara Altshuler Counseling, LLC | Past | Accepting new patients | |
| Thriving Path, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Chicago, IL
- NPI 1568973709
-
- Clinical Social Worker
- Chicago, IL
- NPI 1598122665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649695982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 N ORCHARD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143303",
"telephone_number": "312-914-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 W CHESTNUT ST",
"address_2": "SUITE 201, URBAN BALANCE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606425441",
"telephone_number": "312-757-0043",
"fax_number": "312-226-9082"
}
],
"practiceLocations": [
{
"address_1": "307 N Michigan Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606015311",
"country_code": "US",
"telephone_number": "312-757-0043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTSHULER",
"first_name": "DARA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178009340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.