Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHEL ANN BASS, PHD, CADC, CODP1
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · CHICAGO, IL
Registration Details
- NPI Number
- 1629807250
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2024 (1.7334298914782 yrs)
- Last Updated
- May 31, 2025
- Licenses
-
24935 (IL)24935 (IL)24935 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45 W 111TH STCHICAGO, IL, 606284200Browse IL providers · Browse ZIP 60628
- Phone
- 7739951919
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MINDY B GOLD | LCPC | 1568443943 |
| LILLIE DULANEY | LCSW, CADC,SAP | 1427068014 |
| MR. MORRIS JONES JR. | M.S.W. | 1598864092 |
| MS. DEBRA L COOPER | LCPC | 1659403558 |
| MR. TIMOTHY JAMES ZENNER | C.A.D.C. | 1659597482 |
| MS. BETH ANN DALY | CADC, MISA II, NCRS | 1386861680 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.