Ellen Odonovan LCPC PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELLEN ODONOVAN LCPC PLLC

Practice address

1035 Asbury Ave
Evanston, IL 60202-1164

Phone

(773) 858-8944

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Ellen O'Donovan, LCPCNPI 1831529718

Title

Owner

Phone

(773) 858-8944

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Talsky O'Donovan, LCPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1831529718
  NPD Authorized official

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1043013592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ASBURY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021164",
            "telephone_number": "773-858-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ASBURY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021164",
            "telephone_number": "773-858-8944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Church St Ste 261",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013840",
            "country_code": "US",
            "telephone_number": "773-858-8944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLEN ODONOVAN LCPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "O'DONOVAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-858-8944",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Khaliah Yvonne Elliston
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• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.