Active NPI
Henry Edward Zwirkoski, LCPC, LMHC, NCC
- Professional Counselor
- Chicago Ridge, IL
National Provider Identifier
1679622906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180001184
- Practice address
- 10432 Oxford
#183
Chicago Ridge, IL 60415-0183 - Phone
- (708) 636-0888
- NPI assigned
- Jan 9, 2007
- Last updated
- Sep 28, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39002098A | IN | |
| Professional Counselor | 101YP2500X | 180001184 | IL | Primary |
Addresses
Primary practice location
10432 Oxford
#183
Chicago Ridge, IL 60415-0183
Mailing address
6614 West 89TH Place
Oak Lawn, IL 60453-1026
Phone (708) 636-0888
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 |
|---|---|---|---|
| 39002098A | IN | MD | Mental Health Counselor |
| 180001184 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1679622906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6614 WEST 89TH PLACE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604531026",
"telephone_number": "708-636-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10432 OXFORD",
"address_2": "#183",
"city": "CHICAGO RIDGE",
"state": "IL",
"postal_code": "604150183",
"telephone_number": "708-636-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWIRKOSKI",
"first_name": "HENRY",
"middle_name": "EDWARD",
"name_prefix": "Prof.",
"credential": "LCPC, LMHC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39002098A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180001184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.