Individual provider Active NPI

Anne Bicket Leiter, MA. LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1912580481
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015425 Issued in IL
Practice address
70 E Lake St Ste 222
Chicago, IL 60601-7649
Phone
(309) 696-3469
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.015425 IL Primary

Addresses

Primary practice location

70 E Lake St Ste 222
Chicago, IL 60601-7649

Mailing address

131 W Detweiller Dr
Peoria, IL 61615-2110
Phone (309) 696-3469

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
180.015425ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1912580481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W DETWEILLER DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152110",
            "telephone_number": "309-696-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E LAKE ST STE 222",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017649",
            "telephone_number": "309-696-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITER",
        "first_name": "ANNE",
        "middle_name": "BICKET",
        "credential": "MA. LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015425",
            "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 Aug 2, 2023; 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.