Organization Active NPI

Embodied Way Psychotherapy PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1235882879
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMBODIED WAY PSYCHOTHERAPY PLLC
Practice address
1215 W Norwood St Apt 3
Chicago, IL 60660-2592
Phone
(312) 608-2999
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Ms. Chih-Hsien Lin, LCPC, BC-DMTNPI 1922530641
Title
Founder
Phone
(773) 234-9115

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X

Addresses

Primary practice location

1215 W Norwood St Apt 3
Chicago, IL 60660-2592

Mailing address

1215 W Norwood St Apt 3
Chicago, IL 60660-2592

Other identifiers 1

IdentifierTypeStateIssuer
13987434OtherILCAQH

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": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1235882879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W NORWOOD ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W NORWOOD ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602592",
            "telephone_number": "312-608-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED WAY PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "CHIH-HSIEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-234-9115",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, BC-DMT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13987434",
            "state": "IL"
        }
    ],
    "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 Feb 3, 2022; 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.