Individual provider Active NPI

Thomas Joseph Cromley

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1841903754
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6617 W Henderson St
Chicago, IL 60634-3949
Phone
(773) 513-9437
NPI assigned
Jan 5, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180014730 IL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6617 W Henderson St
Chicago, IL 60634-3949

Mailing address

6617 W Henderson St
Chicago, IL 60634-3949
Phone (773) 513-9437

Other practice location 1

4840 W Byron St
Chicago, IL 60641-2712
Phone (773) 282-7800

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180014730ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Joliet Current Accepting new patients

Locations

203 N Ottawa St
Joliet, IL 60432
Phone (815) 730-4891

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1841903754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 W HENDERSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343949",
            "telephone_number": "773-513-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 W HENDERSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343949",
            "telephone_number": "773-513-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 W Byron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606412712",
            "country_code": "US",
            "telephone_number": "773-282-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMLEY",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014730",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.