Embolden Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMBOLDEN THERAPY

Practice address

811 W 15TH PL Unit 503
Chicago, IL 60608-1641

Phone

(773) 217-9371

NPI assigned

Nov 25, 2025

Organization subpart

No

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

Authorized official

Name

Emily Deaver, LCPCNPI 1770055105

Title

Clinical Professional Counselor

Phone

(773) 217-9371

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Jeanne Deaver, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1770055105
  NPD Authorized official

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1003778317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W 15TH PL UNIT 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081641",
            "telephone_number": "773-217-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W 15TH PL UNIT 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081641",
            "telephone_number": "773-217-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBOLDEN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "DEAVER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CLINICAL PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "773-217-9371",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Embodied Counseling
• Embodied Relational Healing PLLC
• Embodied Way Psychotherapy PLLC
• Embodied Wellness Center, PLLC
• Embody & Mind Collective
• Embrace Corazon Counseling PC
• Embrace Counseling and Wellness, PLLC
• Embrace Sexual Wellness, LLC.
• Embrace the Center for Emotional Wellbeing LLC
• Embrace the Journey PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.