Organization Active NPI

Kapwa Art Therapy and Counseling

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1265136147
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KAPWA ART THERAPY AND COUNSELING
Practice address
3214 W Leland Ave Apt 1a
Chicago, IL 60625-8575
Phone
(773) 931-8897
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Fredelyn Calla, LCPC, ATR-BCNPI 1154684116
Title
Owner, Therapist
Phone
(773) 931-8897

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary
Art TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 221700000X

Addresses

Primary practice location

3214 W Leland Ave Apt 1a
Chicago, IL 60625-8575

Mailing address

3214 W Leland Ave Apt 1a
Chicago, IL 60625-8575
Phone (773) 931-8897

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1265136147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 W LELAND AVE APT 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258575",
            "telephone_number": "773-931-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 W LELAND AVE APT 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258575",
            "telephone_number": "773-931-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPWA ART THERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "CALLA",
        "authorized_official_first_name": "FREDELYN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "773-931-8897",
        "authorized_official_credential": "LCPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 27, 2023; 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.