Individual provider Active NPI

Doris Peace Krasnopolsky, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1942416193
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006048 Issued in IL
Practice address
200 E Randolph St
Suite 5100
Chicago, IL 60601-6436
Phone
(312) 577-7630
Fax
(312) 233-0063
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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 PC004407 PA
Professional Counselor 101YP2500X 180006048 IL Primary

Addresses

Primary practice location

200 E Randolph St
Suite 5100
Chicago, IL 60601-6436

Mailing address

PO Box 617614
Chicago, IL 60661-7614
Phone (312) 577-7630

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
180006048ILMDProfessional Counselor
PC004407PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dori Peace, LLC Professional Past Accepting new patients

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1942416193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617614",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606617614",
            "telephone_number": "312-577-7630",
            "fax_number": "312-233-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RANDOLPH ST",
            "address_2": "SUITE 5100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016436",
            "telephone_number": "312-577-7630",
            "fax_number": "312-233-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNOPOLSKY",
        "first_name": "DORIS",
        "middle_name": "PEACE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004407",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006048",
            "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 Jul 16, 2012; 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.