Active NPI
David Allen Hongisto, CADC
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
National Provider Identifier
1710414792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 24127
- Practice address
- 4750 N Sheridan Rd Ste 500
Chicago, IL 60640-5095 - Phone
- (773) 751-4125
- NPI assigned
- May 22, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24127 | IL | Primary |
Addresses
Primary practice location
4750 N Sheridan Rd Ste 500
Chicago, IL 60640-5095
Mailing address
4862 N Kenmore Ave Apt 1N
Chicago, IL 60640-3753
Phone (312) 953-6456
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 |
|---|---|---|---|
| 24127 | IL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Alliance Health | Past | Accepting new patients | |
| Heartland Alliance Health | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1588825749
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1619134111
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1710414792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4862 N KENMORE AVE APT 1N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606403753",
"telephone_number": "312-953-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 N SHERIDAN RD STE 500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405095",
"telephone_number": "773-751-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONGISTO",
"first_name": "DAVID",
"middle_name": "ALLEN",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-22",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "24127",
"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 May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.