Three Raven Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THREE RAVEN COUNSELING, LLC

Practice address

5215 N Ravenswood Ave Ste 312
Chicago, IL 60640-1670

Phone

(872) 239-5253

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

Lauren Louise Breit, MA, LCPC, CADC, NCC

Title

Counselor/Owner

Phone

(872) 239-5253

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Lauren L. Breit Doing business as

Locations

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1255966784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 N HERMITAGE AVE REAR 2M",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404448",
            "telephone_number": "872-239-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE STE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401670",
            "telephone_number": "872-239-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RAVEN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "BREIT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "872-239-5253",
        "authorized_official_credential": "MA, LCPC, CADC, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14010115",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841738424",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauren L. Breit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Threatt, MA, LPC
• Jean Tolar Threatt, LCPC, BCPC
• Three Cedar Trees Psychotherapy
• Three Dimensional Rehabilitation LLC
• Three Meals LLC
• Three Tales Therapy, LLC
• Gopichand Threepuraneni, MBBS
• Thresholds
• Thresholds
• Thresholds

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.