Dahlia Bloom Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DAHLIA BLOOM THERAPY PLLC

Practice address

7545 S Western Avenue
Chicago, IL 60620

Phone

(630) 962-0698

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Courtney K Berry, LCPCNPI 1134755416

Title

Owner

Phone

(630) 962-0698

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney K Berry, MA, LCPC

  • Professional Counselor
  • Calumet City, IL
  • NPI 1134755416
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1275352957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 S WESTERN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "630-962-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 S WESTERN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "630-962-0698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 park ave",
            "address_2": "APT 706",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "60409",
            "country_code": "US",
            "telephone_number": "630-853-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAHLIA BLOOM THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-962-0698",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Dahle
• Molly Dahle, MD
• Allison Frances Dahlgren, M.D.
• Ashley Marie Dahlgren, PA-C
• Rachel Grace Dahlgren, MSW, LCSW
• Mimi Anne Dahlin, MD
• Ryan Matthew Dahlin, MD
• Daniel Louis Dahlinghaus, MD
• Elizabeth Dahll, LSW
• Katherine Dahm, PH.D.

• 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 Oct 9, 2024; 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.