Active NPI
Jamie Suzanne Pekarek Krohn, LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1972663219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 155 N Michigan Ave
Suite 510
Chicago, IL 60601-7511 - Phone
- (312) 238-9050
- NPI assigned
- Dec 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
155 N Michigan Ave
Suite 510
Chicago, IL 60601-7511
Mailing address
1229 W Foster Ave
3W
Chicago, IL 60640-2260
Phone (773) 506-9224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636614 | Other | IL | BCBSIL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180006211 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972663219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 W FOSTER AVE",
"address_2": "3W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402260",
"telephone_number": "773-506-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017511",
"telephone_number": "312-238-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKAREK KROHN",
"first_name": "JAMIE",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSIL",
"identifier": "01636614",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.