Canopy Counseling Center PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CANOPY COUNSELING CENTER PLLC

Practice address

822 Hillgrove Ave Ste 2
Western Springs, IL 60558-1474

Phone

(872) 254-3804

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Cecilia Yasmine Rivera, LCSWNPI 1235884560

Title

Owner

Phone

(815) 557-1584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cecilia Yasmine Rivera, LCSW

  • Clinical Social Worker
  • Western Springs, IL
  • NPI 1235884560
  NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1174302731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382718",
            "telephone_number": "815-557-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 HILLGROVE AVE STE 2",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581474",
            "telephone_number": "872-254-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5027 S Latrobe Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606381725",
            "country_code": "US",
            "telephone_number": "815-557-1584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANOPY COUNSELING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "YASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-557-1584",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Charles Bruce Jr., PHD
• Alexis Burks
• Kelly Callaghan, M.H.S-CCC, SLP
• Sean M. Callahan, LCSW
• Fanisha Calvert, MS, MSW
• Kendra S Caple, MS, NCC
• Elizabeth A Cappelli, LPC
• Cynthia Carver
• Lucie D Casiello, MPT
• Carrie Anne Castaldo, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.