NPIMap

Organization Active NPI

Cent(Her)Ed Collective

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1306580154
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENT(HER)ED COLLECTIVE
Doing business as
Cent(her)ed Collective
Practice address
4613 S Langley Ave Apt 2N
Chicago, IL 60653-5059
Phone
(404) 431-2297
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Brittney Autry, LCSWNPI 1245856459
Title
Owner
Phone
(404) 431-2297

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4613 S Langley Ave Apt 2N
Chicago, IL 60653-5059

Mailing address

4613 S Langley Ave Apt 2N
Chicago, IL 60653-5059
Phone (404) 431-2297

Other names 1

  • Cent(her)ed Collective Doing business as

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": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1306580154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 S LANGLEY AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606535059",
            "telephone_number": "404-431-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 S LANGLEY AVE APT 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606535059",
            "telephone_number": "404-431-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENT(HER)ED COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "AUTRY",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-431-2297",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cent(her)ed Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2022; 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.