Active NPI
Midsommer Psychotherapy LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1043958895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MIDSOMMER PSYCHOTHERAPY LLC
- Practice address
- 1530 S State St Apt 1014
Chicago, IL 60605-2987 - Phone
- (330) 962-4943
- NPI assigned
- May 23, 2022
- 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
- Spencer Potesta, MA,LPC, NCC
- Title
- Co-Founder, Psychotherapist
- Phone
- (330) 962-4943
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1530 S State St Apt 1014
Chicago, IL 60605-2987
Mailing address
1530 S State St Apt 1014
Chicago, IL 60605-2987
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1477291227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1043958895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 S STATE ST APT 1014",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 S STATE ST APT 1014",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052987",
"telephone_number": "330-962-4943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDSOMMER PSYCHOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "POTESTA",
"authorized_official_first_name": "SPENCER",
"authorized_official_title_or_position": "CO-FOUNDER, PSYCHOTHERAPIST",
"authorized_official_telephone_number": "330-962-4943",
"authorized_official_credential": "MA,LPC, NCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.