Unfettered Psychotherapy & Consulting LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UNFETTERED PSYCHOTHERAPY & CONSULTING LLC

Practice address

2650 W Montrose Ave Ste 302
Chicago, IL 60618-1674

Phone

(773) 450-6363

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Lisa CouserNPI 1043482144

Title

Licensed Clinical Social Worker

Phone

(773) 450-6363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Lisa L Couser, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1043482144
  Medicare reassignment NPD Authorized official
• Jamie Floersch, LCSW

  • Clinical Social Worker
  • Lincolnwood, IL
  • NPI 1548677537
  NPD (past)

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1134978679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 N WOLCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W MONTROSE AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181674",
            "telephone_number": "773-450-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNFETTERED PSYCHOTHERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "COUSER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-450-6363"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra D Underwood
• Summer Valentine Underwood, LPC, MS
• Undine and Associates
• Undine and Associates
• Thomas Robert Undine, LCSW
• Unfragmented Wellness LLC
• Unfurl Acupuncture, LLC
• Chana Ungar
• Joy Ann Ungaretti, M.D.
• Ethan Ungchusri

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.