Bucktown Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180006930I Issued in IL

Legal business name

BUCKTOWN COUNSELING

Practice address

1623 N Western Ave
Chicago, IL 60647-5321

Phone

(773) 446-7711

NPI assigned

May 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leann Sudalter Perlman, LCPC

Title

Psychotherapist

Phone

(773) 446-7711

Specialties & licenses 1

Addresses

Other names 1

• Leann S. Perlman Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1003135211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475321",
            "telephone_number": "773-446-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475321",
            "telephone_number": "773-446-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKTOWN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "PERLMAN",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "SUDALTER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-446-7711",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180006930I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leann S. Perlman",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brittany Buckner, LCPC
• Martin William Buckner, CPO
• Monica Shalise' Buckner, M.D.
• Bucks Livery LLC
• Bucktown Chiropractic Health Center S C
• Bucktown Dental Rez, PC
• Bucktown Open MRI, LLC
• Bucktown Therapy
• Bucktown Wicker Park Dental
• Cristina Bucur

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.