Soul to Self Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUL TO SELF THERAPY, PLLC

Practice address

7051 S Bennett Ave Apt 205
Chicago, IL 60649-2024

Phone

(312) 620-2726

NPI assigned

Mar 31, 2023

Organization subpart

No

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

Authorized official

Name

Jewel SpencerNPI 1013623404

Title

Owner

Phone

(312) 620-2726

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.

• Jewel Spencer, LMFT

  • Marriage & Family Therapist
  • Springfield, IL
  • NPI 1013623404
  NPD (past) Authorized official

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1134824105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 S BENNETT AVE APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492024",
            "telephone_number": "312-620-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 S BENNETT AVE APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492024",
            "telephone_number": "312-620-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL TO SELF THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-620-2726"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdelmalek Y Souadi, DO
• Monique Souffrant, RPH
• Brittney Soukhone, LCSW
• Soul Care Therapy & Wellness
• Soul Counseling and Rehabilitation
• Anne Conquest Soule, CNM
• Soulective Pelvic Health and Wellness PLLC
• Cia Souleles
• Soulful Nutrition Consulting Inc
• Soulful RT

• 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, 2023; 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.