Individual provider Active NPI

Audrey Abigail Newman, MS

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1659965135
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
3166 N Lincoln Ave Ste 224
Chicago, IL 60657-3119
Phone
(773) 622-6218
Fax
(708) 622-7440
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3166 N Lincoln Ave Ste 224
Chicago, IL 60657-3119

Mailing address

2025 N Magnolia Ave Apt 3N
Chicago, IL 60614-7273
Phone (678) 481-5557

Other practice location 1

6250 W North Ave Fl 1
Chicago, IL 60639-3861
Phone (773) 622-6218

Other practice location 2

1255 W 18th St
Chicago, IL 60608-3242
Phone (773) 622-6218

Other names 1

  • Audrey Abigail Nape Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Castillo for Personal and Family Wellbeing, LLC Professional CurrentSince Mar 4, 2021 Accepting new patients

Locations

1255 W 18th St
Chicago, IL 60608
Phone (773) 622-6218

3166 N Lincoln Ave
Ste 224
Chicago, IL 60657
Phone (773) 622-6218

6250 W North Ave
#1
Chicago, IL 60639
Phone (773) 309-8012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1659965135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N MAGNOLIA AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147273",
            "telephone_number": "678-481-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 224",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "773-622-6218",
            "fax_number": "708-622-7440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6250 W North Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606393861",
            "country_code": "US",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606083242",
            "country_code": "US",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "AUDREY",
        "middle_name": "ABIGAIL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "NAPE",
            "middle_name": "ABIGAIL",
            "credential": "MS",
            "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 Nov 14, 2022; 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.