Organization Active NPI

Haywood Walton Therapeutic Services PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1104752500
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HAYWOOD WALTON THERAPEUTIC SERVICES PLLC
Practice address
211 W Wacker Dr
Chicago, IL 60606-1217
Phone
(312) 612-9375
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Ms. Latosha Kamille Haywood, LCPC
Title
Owner
Phone
(312) 612-9375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

211 W Wacker Dr
Chicago, IL 60606-1217

Mailing address

211 W. Wacker Dr
Suite 120 PMB 2460
Chicago, IL 60606
Phone (312) 612-9375

National Provider Directory

National Provider Directory

Locations

211 W Wacker Dr
Ste 120
Chicago, IL 60606
Phone (312) 725-6092

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1104752500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W. WACKER DR",
            "address_2": "SUITE 120 PMB 2460",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60606",
            "telephone_number": "312-612-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W WACKER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061217",
            "telephone_number": "312-612-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD WALTON THERAPEUTIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_middle_name": "KAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-612-9375",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Jun 23, 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.