Active NPI
David Ferenciak
- Professional Counselor
- Chicago, IL
National Provider Identifier
1750770525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.010631
- Practice address
- 6160 N Cicero Ave
Suite 304
Chicago, IL 60646-4312 - Phone
- (815) 262-9290
- NPI assigned
- Jan 17, 2015
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.010631 | IL | Primary |
Addresses
Primary practice location
6160 N Cicero Ave
Suite 304
Chicago, IL 60646-4312
Mailing address
166 Winchester Dr
Streamwood, IL 60107-1385
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 |
|---|---|---|---|
| 178.010631 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421452800000",
"number": "1750770525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 WINCHESTER DR",
"city": "STREAMWOOD",
"state": "IL",
"postal_code": "601071385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 N CICERO AVE",
"address_2": "SUITE 304",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464312",
"telephone_number": "815-262-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERENCIAK",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-17",
"last_updated": "2015-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.010631",
"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 Jan 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.