NPIMap

Organization Active NPI

Nicole Meyer Klarich, LCPC & Associates, LLC

Doing business as Real Possibilities

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1225285661
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180-005468
Legal business name
NICOLE MEYER KLARICH, LCPC & ASSOCIATES, LLC
Doing business as
Real Possibilities
Practice address
2302 W. North Ave.
Ste 1E
Chicago, IL 60647
Phone
(773) 524-2685
Fax
(773) 524-2685
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Ms. Nicole Meyer Klarich, LCPC
Title
Owner/Psychotherapist
Phone
(773) 524-2685

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180-005468 Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 180-005468 IL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 180-005468 IL

Addresses

Primary practice location

2302 W. North Ave.
Ste 1E
Chicago, IL 60647

Mailing address

1700 N. Artesian Ave - 1E
Chicago, IL 60647
Phone (773) 524-2685

Other names 1

  • Real Possibilities Doing business as

National Provider Directory

National Provider Directory

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1225285661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N. ARTESIAN AVE - 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-524-2685",
            "fax_number": "773-524-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W. NORTH AVE.",
            "address_2": "STE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-524-2685",
            "fax_number": "773-524-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MEYER KLARICH, LCPC & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "KLARICH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MEYER",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-524-2685",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "180-005468",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IL",
            "license": "180-005468",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "180-005468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Possibilities",
            "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 Aug 27, 2008; 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.