Clinical Expressions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180006666 Issued in IL

Legal business name

CLINICAL EXPRESSIONS

Doing business as

Clinical Expressions

Practice address

155 N Wacker Dr Ste 4250
Chicago, IL 60606-1750

Phone

(312) 262-5387

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Erica Wade, PH.D., LCPC, ACS

Title

Owner/Clinical Therapist

Phone

(815) 901-3769

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinical Expressions Doing business as

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1033387261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 FAIRFAX CIR E UNIT B2",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601037484",
            "telephone_number": "815-901-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N WACKER DR STE 4250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061750",
            "telephone_number": "312-262-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL EXPRESSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "815-901-3769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCPC, ACS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180006666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "104.3491475",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Expressions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinical Expressions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.