Individual provider Active NPI

Farooq Nasser, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1669985214
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008453 Issued in IL
Practice address
2800 S California Ave
Chicago, IL 60608-5107
Phone
(773) 964-2002
NPI assigned
Nov 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180008453 IL Primary

Addresses

Primary practice location

2800 S California Ave
Chicago, IL 60608-5107

Mailing address

2800 S California Ave
Chicago, IL 60608-5107
Phone (773) 964-2002

Other practice location 1

3218 North Dr
Highland, IN 46322-1343
Phone (773) 964-2002

Other practice location 2

3218 North Dr
Highland, IN 46322-1343
Phone (773) 964-2002

Other identifiers 2

IdentifierTypeStateIssuer
180.008453OtherILINSURANCE
180008453OtherILINSURANCE

Other names 1

  • Mr. Farooq Nasser Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Fnasser@cookcountyhhs.org

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
180008453ILMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: fnasser@cookcountyhhs.org

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1669985214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085107",
            "telephone_number": "773-964-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085107",
            "telephone_number": "773-964-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3218 North Dr",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221343",
            "country_code": "US",
            "telephone_number": "773-964-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3218 North Dr",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221343",
            "country_code": "US",
            "telephone_number": "773-964-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSER",
        "first_name": "FAROOQ",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "180.008453",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "180008453",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Fnasser@cookcountyhhs.org",
            "affiliation": "N",
            "address_1": "2800 S California Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606085107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FAROOQ",
            "last_name": "NASSER",
            "prefix": "MR.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional 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 Oct 6, 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.