True Space Counseling and Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TRUE SPACE COUNSELING AND PSYCHOLOGICAL SERVICES

Practice address

20280 Governors Hwy Ste 105
Olympia Fields, IL 60461-1068

Phone

(312) 248-3481

Fax

(312) 535-6815

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Michele Long, PH.D.

Title

Clinical Psychologist

Phone

(312) 248-3481

Specialties & licenses 3

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Mims, LCPC

  • Professional Counselor
  • Olympia Fields, IL
  • NPI 1144991860
  NPD
• Amanda Michele Pack, PH.D.

  • Clinical Psychologist
  • Olympia Fields, IL
  • NPI 1083212005
  NPD
• Robina Elizabeth Wright-Alexander

  • Mental Health Counselor
  • Olympia Fields, IL
  • NPI 1982436200
  NPD
• Daizha Hunter

  • Professional Counselor
  • Olympia Fields, IL
  • NPI 1417801838
  NPD (past)

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1306516323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22939 MILLARD AVE",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604712534",
            "telephone_number": "708-724-8044",
            "fax_number": "312-535-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 GOVERNORS HWY STE 105",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611068",
            "telephone_number": "312-248-3481",
            "fax_number": "312-535-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SPACE COUNSELING AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-248-3481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latifah Tracy
• David Tran
• Tommy Tran, D.O.
• Trinity Care Group, LLC
• Trinity Healthcare Solutions Inc.
• Jean Yu-Chen Tseng, D.O.
• James Michael Tuchek, DO
• Dajonese Turner, LCPC
• Toren Turner, LPC
• Laura Tyler

• Psychologist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.