Active NPI
My Abundant Life Therapy
- Mental Health Counselor
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MY ABUNDANT LIFE THERAPY
- Practice address
- 3534 Clarence Ave
Berwyn, IL 60402-3855 - Phone
- (312) 330-2561
- NPI assigned
- Oct 25, 2025
- 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
- Alexander Bauman, LCSW, CADC, CODP-1
- Title
- Co-Founder
- Phone
- (630) 426-9437
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
3534 Clarence Ave
Berwyn, IL 60402-3855
Mailing address
680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611
Phone (312) 330-2561
Other practice location 1
2001 N Doctor M.L.K. Jr Dr #524
Milwaukee, WI 53212
Phone (630) 426-9437
Other practice location 2
200 N Vineyard Blvd Ste. A325 # 5532, Honolulu, HI 9681
Honolulu, HI 96817
Phone (630) 426-9437
Other practice location 3
680 North Lake Shore Drive Suite 110 - 1993
Chicago, IL 60611
Phone (630) 426-9437
Other practice location 4
#1216 78 Folly Road Ste B9
Charleston, SC 29407
Phone (630) 426-9437
Other practice location 5
1905 N Sherman St Ste 2002158
Denver, CO 80203-1140
Phone (630) 426-9437
Other practice location 6
3534 Clarence Avenue
Berwyn, IL 60402
Phone (630) 426-9437
National Provider Directory
National Provider DirectoryLocations
1905 N Sherman St
Ste 2002158
Denver, CO 80203
Phone (630) 426-9437
2001 N Mlk Dr
Milwaukee, WI 53212
Phone (630) 426-9437
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1073233003
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Chicago, IL
- NPI 1174230247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1184592875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 NORTH LAKE SHORE DRIVE SUITE 110 - 1993",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-330-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3534 CLARENCE AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023855",
"telephone_number": "312-330-2561"
}
],
"practiceLocations": [
{
"address_1": "2001 N Doctor M.L.K. Jr Dr #524",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53212",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 N Vineyard Blvd Ste. A325 # 5532, Honolulu, HI 9681",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "96817",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "680 North Lake Shore Drive Suite 110 - 1993",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60611",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "#1216 78 Folly Road Ste B9",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "29407",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 N Sherman St Ste 2002158",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802031140",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3534 Clarence Avenue",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "60402",
"country_code": "US",
"telephone_number": "630-426-9437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MY ABUNDANT LIFE THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-25",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "BAUMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "630-426-9437",
"authorized_official_credential": "LCSW, CADC, CODP-1"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.