Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cory Nietzke

Individual provider Professional Counselor · NPI 1962832550

Cory Nietzke is a Mental Health Counselor in Chicago, Illinois. Qualified in 2007, 19 years ago. Practices with Atlantic Counseling Services, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2013
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Practice location Address checks out

5547 N Ravenswood Ave
Chicago, IL 60640-1125
Phone: (773) 818-0495
Fax: (773) 769-1476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0178.005724 (IL)

Record details

NPI number1962832550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 18, 2013
Last updated in NPPESNovember 18, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Atlantic Counseling Services — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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