Active NPI
Traci Patterson LCPC Cadc PLLC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1033793757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- TRACI PATTERSON LCPC CADC PLLC
- Practice address
- 203 N la Salle St Ste 2100
Chicago, IL 60601-1226 - Phone
- (312) 219-4423
- Fax
- (312) 893-7006
- NPI assigned
- May 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Patterson, LCPC, CADC
- Title
- Owner
- Phone
- (312) 219-4423
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
203 N la Salle St Ste 2100
Chicago, IL 60601-1226
Mailing address
203 N la Salle St Ste 2100
Chicago, IL 60601-1226
Phone (312) 219-4423
Other names 1
- Intuitive Therapy Chicago
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621641600000",
"number": "1033793757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 N LA SALLE ST STE 2100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606011226",
"telephone_number": "312-219-4423",
"fax_number": "312-893-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 N LA SALLE ST STE 2100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606011226",
"telephone_number": "312-219-4423",
"fax_number": "312-893-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACI PATTERSON LCPC CADC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-09",
"last_updated": "2021-05-22",
"certification_date": "2021-05-22",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-219-4423",
"authorized_official_credential": "LCPC, CADC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intuitive Therapy Chicago",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Intuitive Therapy Chicago",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 22, 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.