Avery M Ravitz, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180013408 Issued in IL

Practice address

119 S Western Ave Unit 1
#546
Chicago, IL 60612-4644

Phone

(773) 873-2969

Fax

(773) 873-2969

NPI assigned

Sep 27, 2019

Last updated

Dec 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anya Ravitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Identity Counseling, PLLC

  dba Your Identity Counseling

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1427767623
  NPD Authorized official

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1285285445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "address_2": "#546",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644",
            "telephone_number": "773-873-2969",
            "fax_number": "773-873-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "address_2": "#546",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644",
            "telephone_number": "773-873-2969",
            "fax_number": "773-873-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVITZ",
        "first_name": "AVERY",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANYA",
            "last_name": "RAVITZ",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ravindranath K Sansguiri MD SC
• Abhishek Ravinuthala
• Archana Ravinuthala
• Prasanti Sai Ravipati, MD
• Narayanarao Ravishankar, M.D.
• Tal Raviv, PHD
• Mycaleen Raye Ravnikar
• Reumah E Ravoori, PA-C
• Raw Wellness LLC
• Rachna Rawal

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.