Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366058075 Individual Practitioner Female Practitioner

Allyssa Rose Bertram , LCPC CADC

Counselor • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Allyssa Bertram, LCPC CADC is a registered healthcare professional specializing in Counselor in Chicago, IL. Practice services are available at 4055 W PETERSON AVE STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4055 W Peterson Ave Ste 202

Chicago, IL 606466183

Telephone 7737744444
Associated Practice Facility / Clinic
🏢 Urban Wellness, Ltd. Facility NPI 1942565353

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
538 Specialists

Practicing in Chicago, IL (3897 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-17
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 180.012157

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lcpc
180.012157 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Grace Sandeman

Counselor - Mental Health

NPI 1003736448
Sisheng Gan

Counselor - Professional

NPI 1013839331
Alexandra Maksymiw , MS, LCSW

Social Worker - Clinical

NPI 1073148789

Master of Science, Licensed Clinical Social Worker

Jenna Bumber , LCPC

Counselor - Professional

NPI 1104486604

Licensed Clinical Professional Counselor

Mayra Jaramillo

Counselor - Mental Health

NPI 1104758721
Ava Szott , LSW

Social Worker

NPI 1114849775

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2020

Registered at 4055 W PETERSON AVE STE 202, CHICAGO, IL 606466183 (Tel: 7737744444)

📍
Updated Business Mailing Address September 17, 2020

Registered at 702 DEMPSTER ST APT E105, MOUNT PROSPECT, IL 600566154 (Tel: 4404525245)

👤
Provider Name / Credentials Updated September 17, 2020

Recorded as ALLYSSA BERTRAM, LCPC CADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2020

Counselor (License #180.012157 in IL)

🟢
Initial NPI Registration & Enumeration September 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366058075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2020
Last Update: September 17, 2020
Sole Proprietor: Yes

Mailing Address

702 Dempster St Apt E105

Mount Prospect, IL 600566154

Phone: 4404525245

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.