Inner Lens Therapy PLLC

Primary specialty

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

Legal business name

INNER LENS THERAPY PLLC

Practice address

3300 W Palmer St Apt 2
Chicago, IL 60647-7437

Phone

(224) 733-9321

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevor Pontillo, LCSWNPI 1558913137

Title

Managing Member

Phone

(224) 733-9321

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, and the practitioner matching its NPPES authorized official.

• Trevor Pontillo, LCSW

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1558913137
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1023731452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W PALMER ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W PALMER ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477437",
            "telephone_number": "224-733-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LENS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "PONTILLO",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "224-733-9321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Connections Therapy, PLLC
• Inner G Restorative & Holistic Care (Inner G Health)
• Inner Haven Therapy and Wellness PLLC
• Inner Healing Psychotherapy, LLC
• Inner Knowing Psychology PLLC (Inner Knowing Psychology)
• Inner Life Psychological Services LLC
• Inner Peace Holistic Counseling LLC
• Inner Peaces Counseling and Consulting LLC
• Inner Resilience Counseling PLLC
• Inner Sun Psychotherapy, LLC

• 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 Sep 21, 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.