Active NPI
Joann Marie Chassman, MS LCPC
- Mental Health Counselor
- Northbrook, IL
National Provider Identifier
1669754354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180008057
- Practice address
- 2219 Crabtree LN
Northbrook, IL 60062-3519 - Phone
- (847) 544-1644
- NPI assigned
- Sep 19, 2011
- 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 | 180008057 | IL | Primary |
Addresses
Primary practice location
2219 Crabtree LN
Northbrook, IL 60062-3519
Mailing address
2219 Crabtree LN
Northbrook, IL 60062-3519
Phone (847) 544-1644
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180008057 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1669754354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 CRABTREE LN",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600623519",
"telephone_number": "847-544-1644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 CRABTREE LN",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600623519",
"telephone_number": "847-544-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASSMAN",
"first_name": "JOANN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180008057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.