Individual provider Active NPI

Abbie Lynn Cronin, M.A., L.C.P.C.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1831245828
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-002074 Issued in IL
Practice address
4611 N Ravenswood Ave Ste 105
Chicago, IL 60640-7569
Phone
(773) 201-0060
Fax
(937) 347-5406
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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 180-002074 IL Primary

Addresses

Primary practice location

4611 N Ravenswood Ave Ste 105
Chicago, IL 60640-7569

Mailing address

50 Indi Illi Pkwy
Hammond, IN 46324-1444
Phone (312) 320-0929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521000033 IL Practitioner - Mental Health Counselor 4981046133 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4611 N Ravenswood Ave
Suite 105
Chicago, IL 60640-7569
Phone (773) 201-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-002074ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ravenswood Counseling Center Co Professional CurrentSince Jul 25, 2021 Accepting new patients

Locations

4611 N Ravenswood Ave
Ste 105
Chicago, IL 60640
Phone (773) 201-0060

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1831245828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 INDI ILLI PKWY",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241444",
            "telephone_number": "312-320-0929",
            "fax_number": "937-347-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407569",
            "telephone_number": "773-201-0060",
            "fax_number": "937-347-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "ABBIE",
        "middle_name": "LYNN",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.