NPIMap

Organization Active NPI

Chicago Integrated Psychotherapy Incorporated

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1083310106
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHICAGO INTEGRATED PSYCHOTHERAPY INCORPORATED
Practice address
1117 W Albion Ave
Chicago, IL 60626-4613
Phone
(773) 562-6244
Fax
(773) 562-6244
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Mr. Anuj Ansal, MA, LPC, CRCNPI 1417751611
Title
Treasurer
Phone
(773) 562-6244

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1117 W Albion Ave
Chicago, IL 60626-4613

Mailing address

1117 W Albion Ave
Chicago, IL 60626-4613
Phone (773) 562-6244

Other practice location 1

5537 N Clark St
Chicago, IL 60640-0751
Phone (773) 219-1107

Other names 1

  • Chicago Integrative Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

4707 N Broadway St
Chicago, IL 60640
Phone (773) 219-1107

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1083310106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W ALBION AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264613",
            "telephone_number": "773-562-6244",
            "fax_number": "773-562-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W ALBION AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264613",
            "telephone_number": "773-562-6244",
            "fax_number": "773-562-6244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5537 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606400751",
            "country_code": "US",
            "telephone_number": "773-219-1107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO INTEGRATED PSYCHOTHERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "ANSAL",
        "authorized_official_first_name": "ANUJ",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "773-562-6244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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": "Chicago Integrative Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Integrative Psychotherapy",
            "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 Mar 3, 2026; 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.