Organization Active NPI

Traci Patterson LCPC Cadc PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1033793757
Registry record updated May 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on May 22, 2021

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.