Individual provider Active NPI

Churan Wu, NCC, MA, LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1255202776
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.022059 Issued in IL
Practice address
3209 N Lakewood Ave
Chicago, IL 60657-3215
Phone
(872) 278-3286
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.022059 IL Primary

Addresses

Primary practice location

3209 N Lakewood Ave
Chicago, IL 60657-3215

Mailing address

1720 Oak Ave Unit 511
Evanston, IL 60201-5983
Phone (872) 274-4344

Other practice location 1

30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Phone (872) 278-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.022059ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Co-Op Mental Health PastSince Oct 1, 2022 Accepting new patients
Mind Body Co-Op PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1255202776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 OAK AVE UNIT 511",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015983",
            "telephone_number": "872-274-4344",
            "fax_number": "866-671-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 N LAKEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573215",
            "telephone_number": "872-278-3286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Michigan Ave Ste 424",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023844",
            "country_code": "US",
            "telephone_number": "872-278-3286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "CHURAN",
        "credential": "NCC, MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.022059",
            "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 Aug 27, 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.

Verify at the official NPI Registry.