Active NPI
Chicago Psychotherapy and Consulting, LLC
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1265737258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006768
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 201663803 | IL | |
| Clinical Psychologist | 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 DirectoryNPI 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
- Chicago Psychoanalytic Institute
- Chicago Psychological Health and Wellness
- Chicago Psychological Health Center, LLC
- Chicago Psychological Wellness Center, PLLC
- Chicago Psychology Services , LLC
- Chicago Psychotherapy, PLLC
- Chicago Radiation Oncology, S.C.
- Chicago Reach Foundation
- Chicago Regenerative Medical Center Corporation
- Chicago Rehabilitation Services Inc
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.