Your Autistic Therapist PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YOUR AUTISTIC THERAPIST PC

Practice address

5655 N Wayne Ave Apt 1S
Chicago, IL 60660-5543

Phone

(773) 242-9427

NPI assigned

Aug 1, 2024

Organization subpart

No

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

Authorized official

Name

Sue Cook, LCSWNPI 1942604764

Title

Owner

Phone

(773) 242-9427

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.

• Sue Cook, L.AC., LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1942604764
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1033949490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 W BRYN MAWR AVE STE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 N WAYNE AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605543",
            "telephone_number": "773-242-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR AUTISTIC THERAPIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-242-9427",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.