Active NPI
Duane Kim Baldwin, LCPC
- Counselor
- Chicago, IL
National Provider Identifier
1750817359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.010795
- Practice address
- 1276 N Clybourn Ave Unit 1
Chicago, IL 60610-2089 - Phone
- (312) 337-1073
- NPI assigned
- May 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 180.010795 | IL | |
| Mental Health Counselor | 101YM0800X | 180.010795 | IL | |
| Professional Counselor | 101YP2500X | 180.010795 | IL | |
| Counselor | 101Y00000X | 180.010795 | IL | Primary |
Addresses
Primary practice location
1276 N Clybourn Ave Unit 1
Chicago, IL 60610-2089
Mailing address
3123 N Oakley Ave
Unit 1
Chicago, IL 60618-7293
Phone (773) 729-8202
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 |
|---|---|---|---|
| 180.010795 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1750817359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3123 N OAKLEY AVE",
"address_2": "UNIT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187293",
"telephone_number": "773-729-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 N CLYBOURN AVE UNIT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606102089",
"telephone_number": "312-337-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "DUANE",
"middle_name": "KIM",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-03",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "180.010795",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.010795",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010795",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.010795",
"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 Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.