JC Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JC THERAPY PLLC

Practice address

645 N Michigan Ave Ste 410
Chicago, IL 60611-5800

Phone

(773) 614-0536

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Qin Chen, LCPCNPI 1285271056

Title

Owner

Phone

(773) 988-6834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Qin Chen, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1285271056
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662336000000",
    "number": "1124753256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115800",
            "telephone_number": "773-614-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115800",
            "telephone_number": "773-614-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "QIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-988-6834",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.