Divine Purpose Counseling Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE PURPOSE COUNSELING CENTER LLC

Practice address

6024 S Princeton Ave
Chicago, IL 60621-3316

Phone

(773) 633-8695

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Evelynann Davis, LCPCNPI 1891316865

Title

Clinical Professional Counselor

Phone

(773) 633-8695

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.

• Evelynann Davis, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1891316865
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1083354666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 S PRINCETON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213316",
            "telephone_number": "773-633-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 S PRINCETON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213316",
            "telephone_number": "773-633-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6024 S Princeton Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606213316",
            "country_code": "US",
            "telephone_number": "773-633-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE PURPOSE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "EVELYNANN",
        "authorized_official_title_or_position": "CLINICAL PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "773-633-8695",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

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

Verify at the official NPI Registry.