Organization Active NPI

Castro Jacobs Psychotherapy and Consulting

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1295393734
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CASTRO JACOBS PSYCHOTHERAPY AND CONSULTING
Practice address
205 N Michigan Ave Ste 1660
Chicago, IL 60601-6022
Phone
(312) 766-4612
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Chelsy Castro, LCSW
Title
Owner/President
Phone
(312) 766-4612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

205 N Michigan Ave Ste 1660
Chicago, IL 60601-6022

Mailing address

205 N Michigan Ave Ste 1660
Chicago, IL 60601-6022
Phone (312) 766-4612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1295393734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MICHIGAN AVE STE 1660",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016022",
            "telephone_number": "312-766-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MICHIGAN AVE STE 1660",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016022",
            "telephone_number": "312-766-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO JACOBS PSYCHOTHERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "CHELSY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-766-4612",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jun 11, 2019; 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.