NPIMap

Organization Active NPI

Rosewatter Chicagoland Counseling PLLC

  • Psychologist
  • Chicago, IL
National Provider Identifier
1841940269
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROSEWATTER CHICAGOLAND COUNSELING PLLC
Practice address
325 N Wells St Ste 329
Chicago, IL 60654-7023
Phone
(312) 467-2163
NPI assigned
Mar 28, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Rachel Sarah NitzarimNPI 1174059034
Title
Owner
Phone
(312) 467-2163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

325 N Wells St Ste 329
Chicago, IL 60654-7023

Mailing address

325 N Wells St Ste 329
Chicago, IL 60654-7023
Phone (312) 467-2163

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414001647 IL Part B Supplier - Clinic/Group Practice 1153717368 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Skokie, IL

National Provider Directory

National Provider Directory

Locations

2433 N Western Ave
Chicago, IL 60647
Phone (773) 231-7675

325 N Wells St
Ste 329
Chicago, IL 60654
Phone (312) 467-2163

241 Golf Mill Ctr
Ste 708
Niles, IL 60714
Phone (847) 824-8366

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1841940269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N WELLS ST STE 329",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547023",
            "telephone_number": "312-467-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N WELLS ST STE 329",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547023",
            "telephone_number": "312-467-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWATTER CHICAGOLAND COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "NITZARIM",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-467-2163"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "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 Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.