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ELIZABETH PETRUZZI
NPI 1811430416
Counselor in Chicago, IL

Active since November 30, 2016PECOS Enrolled
2542 W NORTH AVE, CHICAGO, IL 60647(224) 240-4045 Get Directions Write a Review

NPPES record last updated: November 30, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Elizabeth Petruzzi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH PETRUZZI (NPI 1811430416) is an individual counselor in Chicago, Illinois, licensed in Illinois (180.010650) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811430416
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameELIZABETH PETRUZZI
Location Address2542 W NORTH AVEChicago, IL 60647-5216
Mailing Address2542 W North AveChicago, IL 60647-5216 · (224) 240-4045
Phone(224) 240-4045
Sole ProprietorNo
Enumeration DateNovember 30, 2016
✔ NPI 1811430416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180.010650
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2542 W NORTH AVE, Chicago, IL 60647
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Petruzzi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NADINE STEVOFF
Counselor (Professional)
2542 W NORTH AVE, C/O COMMUNITY COUNSELING CENTERS OF CHICAGO
CHICAGO, IL 60647
Cook County (773) 365-3047
DIANA CASTANEDA LCPC
Counselor (Professional)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
CINDY CHABOLLA LCSW
Social Worker (Clinical)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
MISS REBECCA CLAIRE BOBROW LCSW
Social Worker (Clinical)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
PORTIA BONEBRAKE M.D.
Psychiatry & Neurology (Psychiatry)
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
REBECCA MARIE GEBHART LCSW
Counselor
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
COMMUNITY COUNSELING CENTERS OF CHICAGO
Community/Behavioral Health
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 365-7277
MAYA JOSEPH-BROOKS
Marriage & Family Therapist
2542 W NORTH AVE
CHICAGO, IL 60647
Cook County (872) 829-3209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Petruzzi's NPI number?

The NPI number for Elizabeth Petruzzi is 1811430416. It was assigned to this individual provider in the NPPES registry on November 30, 2016.

Where is Elizabeth Petruzzi located?

Elizabeth Petruzzi practices at 2542 W North Ave, Chicago, IL 60647. The listed phone number is (224) 240-4045.

What is Elizabeth Petruzzi's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Elizabeth Petruzzi enrolled in Medicare?

Yes. Elizabeth Petruzzi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Petruzzi was last updated on November 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.