Individual provider Active NPI

Dara Altshuler, LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1649695982
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178009340 Issued in IL
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
178009340ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.