Individual provider Active NPI

Elizabeth McNamara, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1811440068
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014280 Issued in IL
Practice address
4256 N Ravenswood Ave
Suite 216
Chicago, IL 60613-1114
Phone
(773) 972-9627
NPI assigned
Jul 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 178.003550 IL
Professional Counselor 101YP2500X 180014280 IL Primary

Addresses

Primary practice location

4256 N Ravenswood Ave
Suite 216
Chicago, IL 60613-1114

Mailing address

5645 N Virginia Ave
Chicago, IL 60659-3716
Phone (773) 972-9627

Other practice location 1

5645 N Virginia Ave
Chicago, IL 60659-3716
Phone (773) 972-9627

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

LicenseStateTypeSpecialty
180014280ILMDProfessional Counselor
178.003550ILMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1811440068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 N VIRGINIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593716",
            "telephone_number": "773-972-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 N RAVENSWOOD AVE",
            "address_2": "SUITE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131114",
            "telephone_number": "773-972-9627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 N Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593716",
            "country_code": "US",
            "telephone_number": "773-972-9627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "178.003550",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014280",
            "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 Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.