Active NPI
Marjory Ruth Reimer, PSYD, CADC
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
National Provider Identifier
1790197788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 23364
- Practice address
- 600 N McClurg CT Apt 3803a
Chicago, IL 60611-3030 - Phone
- (773) 477-2744
- NPI assigned
- May 23, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23364 | IL | Primary |
Addresses
Primary practice location
600 N McClurg CT Apt 3803a
Chicago, IL 60611-3030
Mailing address
600 N McClurg CT Apt 3803a
Chicago, IL 60611-3030
Phone (312) 678-8496
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 |
|---|---|---|---|
| 23364 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1790197788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N MCCLURG CT APT 3803A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113030",
"telephone_number": "312-678-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N MCCLURG CT APT 3803A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113030",
"telephone_number": "773-477-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIMER",
"first_name": "MARJORY",
"middle_name": "RUTH",
"credential": "PSYD, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "23364",
"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 2, 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.