Lily Therapy & Wellness Inc.

Primary specialty

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

Legal business name

LILY THERAPY & WELLNESS INC.

Practice address

5614 N Mulligan Ave
Chicago, IL 60646-6129

Phone

(312) 884-9041

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Katherine Ferreria-Fong, LCPCNPI 1801433180

Title

President

Phone

(904) 415-2919

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.

• Katherine Teofista Ferreria-Fong, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1801433180
  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1194403428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 N MULLIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466129",
            "telephone_number": "312-884-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 N MULLIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466129",
            "telephone_number": "312-884-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 W Devon Ave",
            "address_2": "Suite 334",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60646",
            "country_code": "US",
            "telephone_number": "773-364-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LILY THERAPY & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FERRERIA-FONG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-415-2919",
        "authorized_official_credential": "LCPC"
    },
    "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": []
}

• April Ann Lilly, LCSW
• Whitney Lauren Lilly, MA
• Lily Center Chicago PLLC
• Lily Dove Home Care Agency , LLC
• Lily Medical PC
• Irene Isabel Payad Lim-Beutel, MD, MPH
• Lim-Kuy D Kho MD SC
• Emelita Lim-Meneses, M.D.
• Agnes Lim, PT
• Anna Corinna Corinna Lim, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, 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 Jul 7, 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.