Active NPI
Nina Bednarz
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1699486472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178018582
- Practice address
- 122 S Michigan Ave Ste 1450
Chicago, IL 60603-6176 - Phone
- (312) 786-4990
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 178018582 | IL | Primary |
Addresses
Primary practice location
122 S Michigan Ave Ste 1450
Chicago, IL 60603-6176
Mailing address
122 S Michigan Ave Ste 1450
Chicago, IL 60603-6176
Phone (312) 786-4990
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 |
|---|---|---|---|
| 178018582 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Psychoanalytic Institute | Mental Health | Current | Accepting new patients |
Locations
8 S Michigan Ave
Ste 700
Chicago, IL 60603
Phone (312) 897-1420
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1699486472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 S MICHIGAN AVE STE 1450",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606036176",
"telephone_number": "312-786-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 S MICHIGAN AVE STE 1450",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606036176",
"telephone_number": "312-786-4990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDNARZ",
"first_name": "NINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178018582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 12, 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.