Active NPI
Alexander Czop, LPC
- Counselor
- Wilmette, IL
National Provider Identifier
1679172373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.016375
- Practice address
- 1250 Chestnut Ave
Wilmette, IL 60091-1616 - Phone
- (630) 544-1397
- NPI assigned
- Oct 22, 2020
- Last updated
- Oct 22, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.016375 | IL | Primary |
Addresses
Primary practice location
1250 Chestnut Ave
Wilmette, IL 60091-1616
Mailing address
2270 Salisbury Dr
Naperville, IL 60565-3158
Phone (630) 544-1397
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 |
|---|---|---|---|
| 178.016375 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1679172373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 SALISBURY DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605653158",
"telephone_number": "630-544-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 CHESTNUT AVE",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911616",
"telephone_number": "630-544-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CZOP",
"first_name": "ALEXANDER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "IL",
"license": "178.016375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.