Active NPI
Ann E Friesema, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1740519990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007173
- Practice address
- 1200 N Ashland Ave
Suite 502
Chicago, IL 60622-2259 - Phone
- (773) 758-4959
- NPI assigned
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180007173 | IL | Primary |
Addresses
Primary practice location
1200 N Ashland Ave
Suite 502
Chicago, IL 60622-2259
Mailing address
5349 W Berenice Ave
Chicago, IL 60641-2548
Phone (773) 758-4959
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 |
|---|---|---|---|
| 180007173 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1740519990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5349 W BERENICE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412548",
"telephone_number": "773-758-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N ASHLAND AVE",
"address_2": "SUITE 502",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222259",
"telephone_number": "773-758-4959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIESEMA",
"first_name": "ANN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180007173",
"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 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.