Active NPI
Tracy K Durkan, LCPC
- Professional Counselor
- Northbrook, IL
National Provider Identifier
1811315526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.010081
- Practice address
- 1535 Lake Cook Rd Ste 303
Northbrook, IL 60062-1452 - Phone
- (312) 239-6016
- NPI assigned
- Mar 31, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.009667 | IL | |
| Professional Counselor | 101YP2500X | 180.010081 | IL | Primary |
Addresses
Primary practice location
1535 Lake Cook Rd Ste 303
Northbrook, IL 60062-1452
Mailing address
2327 N Sacramento Ave
Unit 1
Chicago, IL 60647
Phone (607) 351-3977
Other practice location 1
2858 W Diversey Ave
Chicago, IL 60647-1871
Phone (773) 536-9507
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 |
|---|---|---|---|
| 178.009667 | IL | MD | Professional Counselor |
| 180.010081 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Possibility Counseling PLLC | Professional | Current | 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.
-
- Professional Counselor
- Chicago, IL
- NPI 1649135534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811315526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 N SACRAMENTO AVE",
"address_2": "UNIT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60647",
"telephone_number": "607-351-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 LAKE COOK RD STE 303",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621452",
"telephone_number": "312-239-6016"
}
],
"practiceLocations": [
{
"address_1": "2858 W Diversey Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606471871",
"country_code": "US",
"telephone_number": "773-536-9507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURKAN",
"first_name": "TRACY",
"middle_name": "K",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.009667",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.