Organization Active NPI

St James Cathedral Counseling Center

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1720090780
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ST JAMES CATHEDRAL COUNSELING CENTER
Practice address
50 E Washington St
Suite 301
Chicago, IL 60602-2152
Phone
(312) 252-9500
Fax
(312) 337-9243
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Ms. Lucie M. Prebel
Title
Operations Manager
Phone
(312) 337-5874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X IL Primary

Addresses

Primary practice location

50 E Washington St
Suite 301
Chicago, IL 60602-2152

Mailing address

50 E Washington St
Suite 301
Chicago, IL 60602-2152
Phone (312) 252-9500

Other identifiers 1

IdentifierTypeStateIssuer
0160-8726OtherILBC/BS PROVIDER NUMBER

Other names 1

  • Cathedral Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

671 N Wabash Ave
Chicago, IL 60611
Phone (312) 337-5874

4945 S Dorchester Ave
Chicago, IL 60615
Phone (312) 252-9500

50 E Washington St
Ste 301
Chicago, IL 60602
Phone (312) 252-9500

1509 Ridge Ave
Evanston, IL 60201
Phone (312) 252-9500

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1720090780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E WASHINGTON ST",
            "address_2": "SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022152",
            "telephone_number": "312-252-9500",
            "fax_number": "312-337-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E WASHINGTON ST",
            "address_2": "SUITE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022152",
            "telephone_number": "312-252-9500",
            "fax_number": "312-337-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES CATHEDRAL COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "PREBEL",
        "authorized_official_first_name": "LUCIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "312-337-5874",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "0160-8726",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cathedral Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.