Individual provider Active NPI

Joseph Fattori, MCAP, RMHCI

  • Professional Counselor
  • Saint Anne, IL
National Provider Identifier
1962095836
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.017058 Issued in IL
Practice address
1900 Bittersweet Dr
Saint Anne, IL 60964-4335
Phone
(317) 721-4477
NPI assigned
Feb 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 180.017058 IL Primary

Addresses

Primary practice location

1900 Bittersweet Dr
Saint Anne, IL 60964-4335

Mailing address

1900 Bittersweet Dr
Saint Anne, IL 60964-4335
Phone (317) 721-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027003657 IL Practitioner - Mental Health Counselor 9234628637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

500 Asbury Ave
Evanston, IL 60202-2724
Phone (847) 316-3320

650 N Kinzie Ave
Bradley, IL 60915-1227
Phone (815) 933-1666

901 N Entrance Ave
Kankakee, IL 60901-2026
Phone (815) 933-1666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.017058ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC CurrentSince Oct 16, 2025 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

901 N Entrance Ave
Kankakee, IL 60901
Phone (815) 936-4570

3450 Oakton St
Ste 300
Skokie, IL 60076

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1962095836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BITTERSWEET DR",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609644335",
            "telephone_number": "317-721-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BITTERSWEET DR",
            "city": "SAINT ANNE",
            "state": "IL",
            "postal_code": "609644335",
            "telephone_number": "317-721-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTORI",
        "first_name": "JOSEPH",
        "credential": "MCAP, RMHCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.017058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anne, IL

Sources for this page

Verify at the official NPI Registry.