Individual provider Active NPI

Rachel Baker

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1881146314
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012815 Issued in IL
Practice address
5412 N Clark St
Chicago, IL 60640-1223
Phone
(773) 922-0976
Fax
(847) 498-4234
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 178.012438 IL
Professional Counselor 101YP2500X 180.012815 IL Primary

Addresses

Primary practice location

5412 N Clark St
Chicago, IL 60640-1223

Mailing address

2901 N Seeley Ave
Chicago, IL 60618-8306

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

LicenseStateTypeSpecialty
178.012438ILMDProfessional Counselor
180.012815ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Self Bound Counseling LLC Professional CurrentSince Sep 6, 2020 Accepting new patients

Locations

5412 N Clark St
Chicago, IL 60640
Phone (773) 368-9619

3523 N Lincoln Ave
Chicago, IL 60657
Phone (773) 263-3222

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": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1881146314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N SEELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401223",
            "telephone_number": "773-922-0976",
            "fax_number": "847-498-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.012438",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012815",
            "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 Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.