My Therapist

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MY THERAPIST

Practice address

915 Campbell Dr
Gurnee, IL 60031-3112

Phone

(224) 440-2665

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Saira Khan, LCPCNPI 1851708994

Title

Mental Health Therapist

Phone

(224) 440-2665

Specialties & licenses 2

Addresses

Other names 1

• My Therapist Other name

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.

• Saira Khan, LCPC, CADC, CTTS,NCC

  • Professional Counselor
  • Gurnee, IL
  • NPI 1851708994
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1326722950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CAMPBELL DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313112",
            "telephone_number": "224-440-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CAMPBELL DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313112",
            "telephone_number": "224-440-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "224-440-2665",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Therapist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Therapist",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teresa D Munoz
• Kimberly Nicolle Murillo, BCBA
• Alaina Murphy, LPC
• Blanche W Murphy, LCPC
• Nevin Murthy, MD
• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
• Paul J Myles, PHARM.D.
• Peter N.G., PHARMD
• Nirav Nagarsheth

• Adult Mental Health Clinic/Center in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.