Organization Active NPI

Springtides, Inc.

  • Counselor
  • Chicago, IL
National Provider Identifier
1295082295
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180008213 Issued in IL
Legal business name
SPRINGTIDES, INC.
Practice address
2400 N Lakeview Ave
#1703
Chicago, IL 60614-2739
Phone
(312) 282-2610
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Ms. Laura Margaret Szwalek, LCPCNPI 1770846339
Title
President
Phone
(312) 282-2610

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 180008213 IL Primary

Addresses

Primary practice location

2400 N Lakeview Ave
#1703
Chicago, IL 60614-2739

Mailing address

2400 N Lakeview Ave
#1703
Chicago, IL 60614-2739
Phone (312) 282-2610

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": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1295082295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N LAKEVIEW AVE",
            "address_2": "#1703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142739",
            "telephone_number": "312-282-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N LAKEVIEW AVE",
            "address_2": "#1703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142739",
            "telephone_number": "312-282-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGTIDES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "SZWALEK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-282-2610",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180008213",
            "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 Aug 8, 2012; 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.