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CORY NIETZKE
NPI 1962832550
Counselor - Professional in Chicago, IL

Active since November 18, 2013PECOS EnrolledAccepts Medicare Assignment
5547 N RAVENSWOOD AVE, CHICAGO, IL 60640(773) 818-0495(773) 769-1476 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cory Nietzke NPPES

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

CORY NIETZKE (NPI 1962832550) is an individual professional provider in Chicago, Illinois, licensed in Illinois (0178.005724) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1962832550
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCORY NIETZKE
Location Address5547 N RAVENSWOOD AVEChicago, IL 60640-1125
Mailing Address5547 N Ravenswood AveChicago, IL 60640-1125 · (773) 818-0495 · Fax (773) 769-1476
Phone(773) 818-0495
Fax(773) 769-1476
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 18, 2013
✔ NPI 1962832550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 0178.005724
5547 N RAVENSWOOD AVE, Chicago, IL 60640
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cory Nietzke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345689832
PECOS Enrollment IDI20240417000343
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.

ALEXIS JAEGER LCSW
Social Worker (Clinical)
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 550-5823
LINDSAY WARRINER
Counselor (Mental Health)
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 570-2829
MARY KULIKOWSKI FNP
Custodial Care Facility (Adult Care Home)
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 769-4313
MRS. MICHELLE JENNIFER JOHANN LPC
Counselor
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 769-4313
ALLISON KATHRINE TEMPLETON LPC
Counselor (Mental Health)
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 506-3043
VICTOR C. NEUMANN ASSOCIATION
Community/Behavioral Health
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 506-3201
MICHAEL IVAN BROWN LPC
Counselor (Mental Health)
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 570-2829
ERIN SIEGFERTH LPC
Counselor (Professional)
5547 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 570-2829

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 Cory Nietzke's NPI number?

The NPI number for Cory Nietzke is 1962832550. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Cory Nietzke located?

Cory Nietzke practices at 5547 N Ravenswood Ave, Chicago, IL 60640. The listed phone number is (773) 818-0495.

What is Cory Nietzke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cory Nietzke enrolled in Medicare?

Yes. Cory Nietzke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cory Nietzke accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Cory Nietzke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cory Nietzke was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.