Organization Active NPI

Chicago Psychotherapy and Consulting, LLC

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1265737258
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006768 Issued in IL
Legal business name
CHICAGO PSYCHOTHERAPY AND CONSULTING, LLC
Practice address
3047 N Lincoln Ave
Suite 400
Chicago, IL 60657-4999
Phone
(773) 654-2420
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Mrs. Kerrie Lynn Weber, L.C.P.C.
Title
Clinical Professional Couselor
Phone
(773) 654-2420

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 201663803 IL
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071006768 IL Primary

Addresses

Primary practice location

3047 N Lincoln Ave
Suite 400
Chicago, IL 60657-4999

Mailing address

3047 N Lincoln Ave
Suite 400
Chicago, IL 60657-4999
Phone (773) 654-2420

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1265737258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574999",
            "telephone_number": "773-654-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 N LINCOLN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574999",
            "telephone_number": "773-654-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PSYCHOTHERAPY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL PROFESSIONAL COUSELOR",
        "authorized_official_telephone_number": "773-654-2420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "201663803",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006768",
            "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 Jan 21, 2011; 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.