Individual provider Active NPI

Deborah Altman, L.C.P.C., N.C.C.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1821346388
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008096 Issued in IL
Practice address
1030 N. Clark
#303
Chicago, IL 60610-5467
Phone
(773) 234-2271
NPI assigned
Aug 15, 2012
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.008096 IL Primary
School Counselor 101YS0200X 2346914 IL

Addresses

Primary practice location

1030 N. Clark
#303
Chicago, IL 60610-5467

Mailing address

1030 N. Clark
#303
Chicago, IL 60610-5467
Phone (773) 234-2271

Other identifiers 2

IdentifierTypeStateIssuer
180.009096OtherILDEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
240236OtherILNATIONAL BOARD OF CERTIFIED COUNSELORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8007 Chesterton Dr
Woodridge, IL 60517-8009

PO Box
Suite 85
Sugar Grove, IL 60554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.008096ILMDMental Health Counselor
2346914ILMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Altman, PLLC Mental Health Current Accepting new patients

Locations

1 E Erie St
Ste 525
Chicago, IL 60611
Phone (312) 775-2045

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.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1821346388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N. CLARK",
            "address_2": "#303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105467",
            "telephone_number": "773-234-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N. CLARK",
            "address_2": "#303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105467",
            "telephone_number": "773-234-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "DEBORAH",
        "name_prefix": "Miss",
        "credential": "L.C.P.C., N.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008096",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "2346914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "180.009096",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFIED COUNSELORS",
            "identifier": "240236",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.