Organization Active NPI

Cloud Nine Counseling PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1720869985
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CLOUD NINE COUNSELING PLLC
Practice address
30 N Michigan Ave Ste 1517
Chicago, IL 60602-3677
Phone
(312) 612-9644
NPI assigned
Oct 12, 2023
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Mary Claire Schibelka, LCPCNPI 1063166528
Title
Counselor, Owner
Phone
(312) 612-9644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1517
Chicago, IL 60602-3677

Mailing address

1846 N Milwaukee Ave Apt 2R
Chicago, IL 60647-4484

Other practice location 1

#3719 111 North Wabash Ave. Ste.100
The Garland Building
Chicago, IL 60602-4484
Phone (815) 901-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240814002271 IL Part B Supplier - Clinic/Group Practice 9133667744 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

30 N Michigan Ave
Ste 1517
Chicago, IL 60602
Phone (312) 612-9644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1720869985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 N MILWAUKEE AVE APT 2R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1517",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023677",
            "telephone_number": "312-612-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "#3719 111 North Wabash Ave. Ste.100",
            "address_2": "The Garland Building",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606024484",
            "country_code": "US",
            "telephone_number": "815-901-5729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLOUD NINE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SCHIBELKA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "COUNSELOR, OWNER",
        "authorized_official_telephone_number": "312-612-9644",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.