Active NPI
Kate Nora Broitman
- Professional Counselor
- Chicago, IL
National Provider Identifier
1861780140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180009197
- Practice address
- 25 East Washington
Suite 1717
Chicago, IL 60602 - Phone
- (847) 508-5148
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180009197 | IL | Primary |
Addresses
Primary practice location
25 East Washington
Suite 1717
Chicago, IL 60602
Mailing address
25 East Washington
Suite 1717
Chicago, IL 60602
Phone (847) 508-5148
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 |
|---|---|---|---|
| 180009197 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1861780140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 EAST WASHINGTON",
"address_2": "SUITE 1717",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60602",
"telephone_number": "847-508-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 EAST WASHINGTON",
"address_2": "SUITE 1717",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60602",
"telephone_number": "847-508-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROITMAN",
"first_name": "KATE",
"middle_name": "NORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180009197",
"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 Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.