Individual provider Active NPI

Emily Erin Smith, LCPC. CADC

  • Counselor
  • Chicago, IL
National Provider Identifier
1689147290
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180004843 Issued in IL
Practice address
134 North Lasalle Street
Suite 400
Chicago, IL 60602-1000
Phone
(847) 493-3717
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24200 IL
Counselor 101Y00000X 180004843 IL Primary

Addresses

Primary practice location

134 North Lasalle Street
Suite 400
Chicago, IL 60602-1000

Mailing address

1040 W Adams St Unit 360
Chicago, IL 60607-3090
Phone (708) 490-9399

Other practice location 1

11824 Southwest Hwy Ste 230
Palos Heights, IL 60463-1085
Phone (847) 493-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180004843ILMDCounselor
24200ILMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1689147290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W ADAMS ST UNIT 360",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073090",
            "telephone_number": "708-490-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 NORTH LASALLE STREET",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021000",
            "telephone_number": "847-493-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11824 Southwest Hwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631085",
            "country_code": "US",
            "telephone_number": "847-493-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "ERIN",
        "credential": "LCPC. CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "24200",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180004843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.