Organization Active NPI

Nefesh Counseling, LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1114532561
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEFESH COUNSELING, LLC
Practice address
3320 W Foster Ave # 124
Chicago, IL 60625-4813
Phone
(773) 645-1443
NPI assigned
Sep 12, 2020
Last updated
Jun 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Lisa Tamar ProvornyNPI 1518354331
Title
LCPC
Phone
(773) 645-1443

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)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

3320 W Foster Ave # 124
Chicago, IL 60625-4813

Mailing address

3320 W Foster Ave # 124
Chicago, IL 60625-4813

National Provider Directory

National Provider Directory

Locations

3320 W Foster Ave
#124
Chicago, IL 60625
Phone (773) 645-1443

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1114532561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 W FOSTER AVE # 124",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 W FOSTER AVE # 124",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254813",
            "telephone_number": "773-645-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEFESH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-12",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "PROVORNY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "TAMAR",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "773-645-1443"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "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 14, 2021; 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.