Active NPI
Santina Bianco
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1649870643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.016472
- Practice address
- 3525 W Peterson Ave Ste 522
Chicago, IL 60659-3317 - Phone
- (312) 781-2850
- NPI assigned
- Oct 28, 2020
- 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 | 178.016472 | IL | Primary |
Addresses
Primary practice location
3525 W Peterson Ave Ste 522
Chicago, IL 60659-3317
Mailing address
1260 N Dearborn St Apt 416
Chicago, IL 60610-2240
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 |
|---|---|---|---|
| 178.016472 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Psych Therapy Group, Inc. | Mental Health | Current | Accepting new patients |
Locations
3525 W Peterson Ave
Ste 522
Chicago, IL 60659
Phone (312) 781-2850
1603 Orrington Ave
Ste 602
Evanston, IL 60201
Phone (312) 781-2850
1603 Orrington Ave
Evanston, IL 60201
Phone (312) 781-2850
Organizations & group practices 1
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": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1649870643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 N DEARBORN ST APT 416",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 W PETERSON AVE STE 522",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606593317",
"telephone_number": "312-781-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCO",
"first_name": "SANTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.016472",
"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 Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.