Organization Active NPI

Little Fire Psychotherapy PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1205678679
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LITTLE FIRE PSYCHOTHERAPY PLLC
Practice address
4667 N Manor Ave Ste 2
Chicago, IL 60625-3717
Phone
(224) 633-3966
Fax
(312) 748-4284
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Jason S Gerig, LCSWNPI 1518467448
Title
Manager
Phone
(773) 949-4496

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4667 N Manor Ave Ste 2
Chicago, IL 60625-3717

Mailing address

4667 N Manor Ave Ste 2
Chicago, IL 60625-3717
Phone (224) 633-3966

National Provider Directory

National Provider Directory

Locations

4667 N Manor Ave
Ste 2
Chicago, IL 60625
Phone (224) 633-3966

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1205678679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 N MANOR AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253717",
            "telephone_number": "224-633-3966",
            "fax_number": "312-748-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 N MANOR AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253717",
            "telephone_number": "224-633-3966",
            "fax_number": "312-748-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FIRE PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "GERIG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-949-4496",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 21, 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.

Verify at the official NPI Registry.