Organization Active NPI

Oak & Ivy Counseling LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1316436967
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OAK & IVY COUNSELING LLC
Practice address
2130 W Belmont Ave
Chicago, IL 60618
Phone
(312) 709-1342
NPI assigned
May 8, 2018
Last updated
May 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Celia Hardamon, LCSWNPI 1841678851
Title
Ceo
Phone
(312) 709-1342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2130 W Belmont Ave
Chicago, IL 60618

Mailing address

723 W Roscoe St Apt 3
Chicago, IL 60657-6510
Phone (312) 709-1342

National Provider Directory

National Provider Directory

Locations

2130 W Belmont Ave
Chicago, IL 60618
Phone (262) 676-9370

2130 W Belmont Ave
Ste C
Chicago, IL 60618
Phone (312) 709-1342

806 W Armitage Ave
Chicago, IL 60614

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1316436967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W ROSCOE ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576510",
            "telephone_number": "312-709-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60618",
            "telephone_number": "312-709-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK & IVY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "HARDAMON",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-709-1342",
        "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 May 21, 2018; 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.