Organization Active NPI

Dori Peace, LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1972858058
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
Legal business name
DORI PEACE, LLC
Practice address
200 E Randolph St
Suite 5100
Chicago, IL 60601-6436
Phone
(312) 577-7630
Fax
(312) 233-0063
NPI assigned
Jul 16, 2012
Organization subpart
No

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

Authorized official

Name
Doris Peace Krasnopolsky, LCPCNPI 1942416193
Title
Owner
Phone
(312) 577-7630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1972858058",
    "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": {
        "organization_name": "DORI PEACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "KRASNOPOLSKY",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "PEACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-577-7630",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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.