Equilibrium, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EQUILIBRIUM, INC

Practice address

53 W Jackson Blvd Ste 1119
Chicago, IL 60604-4186

Phone

(312) 380-9554

NPI assigned

Mar 2, 2019

Organization subpart

No

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

Authorized official

Name

Suzanne Smith, LCSW, CADC

Title

Licensed Clinical Social Worker

Phone

(219) 743-9017

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551484800000",
    "number": "1003374638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1119",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044186",
            "telephone_number": "312-380-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1119",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044186",
            "telephone_number": "312-380-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "219-743-9017",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1194113308",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Equilibria Wellness, LLC
• Equilibrium Counseling Center
• Equilibrium Health and Wellness, LLC
• Equilibrium Nutrition
• Equilibrium Testing Corporation
• Equinox Elite LLC
• Equinox Health Center
• ER Associates, LLC
• ER Dental Care LTD
• ER Homecare & Employment Services, Inc.

• 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 Mar 2, 2019; 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.