Individual provider Active NPI

Melissa Prohammer

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1821796640
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.017640 Issued in IL
Practice address
2600 S Michigan Ave Ste 309
Chicago, IL 60616-0049
Phone
(773) 234-8779
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.017640 IL Primary

Addresses

Primary practice location

2600 S Michigan Ave Ste 309
Chicago, IL 60616-0049

Mailing address

606 W Cornelia Ave Apt 490
Chicago, IL 60657-2546
Phone (630) 335-7172

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
178.017640ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bruner & Gleason Therapeutic Services, LLC PastSince Feb 26, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1821796640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W CORNELIA AVE APT 490",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572546",
            "telephone_number": "630-335-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606160049",
            "telephone_number": "773-234-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHAMMER",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017640",
            "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 Feb 21, 2023; 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.