Active NPI
Maddie Bennett
- Counselor
- Chicago, IL
National Provider Identifier
1841174554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178021900
- Practice address
- 737 N Michigan Ave
Chicago, IL 60611-2615 - Phone
- (248) 409-8882
- NPI assigned
- Aug 5, 2025
- Last updated
- Aug 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178021900 | IL | Primary |
Addresses
Primary practice location
737 N Michigan Ave
Chicago, IL 60611-2615
Mailing address
737 N Michigan Ave
Chicago, IL 60611-2615
Phone (248) 409-8882
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 |
|---|---|---|---|
| 178021900 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1841174554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112615",
"telephone_number": "248-409-8882",
"fax_number": "248-409-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112615",
"telephone_number": "248-409-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MADDIE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178021900",
"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 Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.