Individual provider Active NPI

Jennifer Hanzel, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1912582396
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014839 Issued in IL
Practice address
2000 N Racine Ave # 3300
Chicago, IL 60614-4045
Phone
(773) 413-9523
NPI assigned
Mar 16, 2021
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180014839 IL Primary

Addresses

Primary practice location

2000 N Racine Ave # 3300
Chicago, IL 60614-4045

Mailing address

2221 W Roscoe St # 2F
Chicago, IL 60618-8818
Phone (513) 260-9249

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
180014839ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abbie Kelley, LLC CurrentSince Apr 25, 2021 Accepting new patients

Locations

2000 N Racine Ave
Ste 3300
Chicago, IL 60614
Phone (773) 413-9523

4621 N Ravenswood Ave
Chicago, IL 60640
Phone (312) 438-3135

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1912582396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W ROSCOE ST # 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188818",
            "telephone_number": "513-260-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N RACINE AVE # 3300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144045",
            "telephone_number": "773-413-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANZEL",
        "first_name": "JENNIFER",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014839",
            "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 Mar 29, 2024; 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.