Active NPI
Moxie and Grace Therapy PLLC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1184497893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MOXIE AND GRACE THERAPY PLLC
- Practice address
- 404 W Surf St
Chicago, IL 60657-6106 - Phone
- (480) 239-8934
- NPI assigned
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Coors, LCPC
- Title
- Psychotherapist
- Phone
- (773) 873-7688
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
404 W Surf St
Chicago, IL 60657-6106
Mailing address
1440 W Taylor St # 1076
Chicago, IL 60607-4623
Phone (773) 873-7688
Other names 1
- MOXIE AND GRACE THERAPY PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1437647724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1184497893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 W TAYLOR ST # 1076",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074623",
"telephone_number": "773-873-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W SURF ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576106",
"telephone_number": "480-239-8934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOXIE AND GRACE THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "COORS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "773-873-7688",
"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": [
{
"organization_name": "MOXIE AND GRACE THERAPY PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.