Active NPI
Kelsey Lamm Rottmuller
- Professional Counselor
- Chicago, IL
National Provider Identifier
1750943098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 30 N Michigan Ave Ste 1217
Chicago, IL 60602-3732 - Phone
- (773) 480-3170
- NPI assigned
- Jul 8, 2019
- Last updated
- Jul 8, 2019
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 1217
Chicago, IL 60602-3732
Mailing address
1019 W Ainslie St Apt 1
Chicago, IL 60640-3711
Phone (773) 480-3170
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Counseling PLLC | Current | Accepting new patients |
Locations
2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Boulder, CO
- NPI 1073338372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1750943098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 W AINSLIE ST APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606403711",
"telephone_number": "773-480-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 1217",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023732",
"telephone_number": "773-480-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTTMULLER",
"first_name": "KELSEY",
"middle_name": "LAMM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"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 Jul 8, 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.