Organization Active NPI

Free Minded Counseling PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1023693033
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREE MINDED COUNSELING PLLC
Practice address
1980 N Milwaukee Ave Apt 421
Chicago, IL 60647-1789
Phone
(847) 903-3580
NPI assigned
Mar 11, 2021
Organization subpart
Yes
Parent organization
FREE MINDED COUNSELING PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Mr. Joey D Paul, LCPCNPI 1285106807
Title
Therapist
Phone
(847) 903-3580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1980 N Milwaukee Ave Apt 421
Chicago, IL 60647-1789

Mailing address

1980 N Milwaukee Ave Apt 421
Chicago, IL 60647-1789
Phone (847) 903-3580

National Provider Directory

National Provider Directory
Part of
Free Minded Counseling PLLC

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1023693033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N MILWAUKEE AVE APT 421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471789",
            "telephone_number": "847-903-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N MILWAUKEE AVE APT 421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471789",
            "telephone_number": "847-903-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE MINDED COUNSELING PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREE MINDED COUNSELING PLLC",
        "enumeration_date": "2021-03-11",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "847-903-3580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.