Organization Active NPI

Sharon L Pietrzak & Assoc Inc

  • Counselor
  • Chicago, IL
National Provider Identifier
1891853537
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SHARON L PIETRZAK & ASSOC INC
Practice address
55 E Washington
Suite 621 Pittsfield Building
Chicago, IL 60602
Phone
(708) 293-0070
Fax
(708) 293-8615
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Ms. Sharon L Pietrzak, MA LCPCNPI 1023282597
Title
Owner Pres
Phone
(708) 293-0070

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X IL Primary

Addresses

Primary practice location

55 E Washington
Suite 621 Pittsfield Building
Chicago, IL 60602

Mailing address

12 Billy Casper Lane
Midlothian, IL 60445
Phone (708) 293-0070

Other identifiers 2

IdentifierTypeStateIssuer
01623219OtherILBLUE CROSS BLUE SHIELD
149263OtherILCLIN PSYC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1891853537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BILLY CASPER LANE",
            "city": "MIDLOTHIAN",
            "state": "IL",
            "postal_code": "60445",
            "telephone_number": "708-293-0070",
            "fax_number": "708-293-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E WASHINGTON",
            "address_2": "SUITE 621 PITTSFIELD BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "708-293-0070",
            "fax_number": "708-293-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON L PIETRZAK & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "PIETRZAK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "708-293-0070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01623219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIN PSYC",
            "identifier": "149263",
            "state": "IL"
        }
    ],
    "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 3, 2008; 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.