Organization Active NPI

Emovere Therapy, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1326825464
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EMOVERE THERAPY, PLLC
Practice address
4311 N Ravenswood Ave Ste 203
Chicago, IL 60613-1192
Phone
(262) 328-6139
NPI assigned
Sep 12, 2023
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Lauren Mulligan, LCSW, R-DMTNPI 1376206979
Title
Owner & Therapist
Phone
(262) 328-6139

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4311 N Ravenswood Ave Ste 203
Chicago, IL 60613-1192

Mailing address

4610 N Clark St # 1275
Chicago, IL 60640-4620
Phone (262) 328-6139

National Provider Directory

National Provider Directory

Locations

4311 N Ravenswood Ave
Ste 203
Chicago, IL 60613
Phone (262) 328-6139

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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1326825464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N CLARK ST # 1275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404620",
            "telephone_number": "262-328-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 N RAVENSWOOD AVE STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131192",
            "telephone_number": "262-328-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMOVERE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER & THERAPIST",
        "authorized_official_telephone_number": "262-328-6139",
        "authorized_official_credential": "LCSW, R-DMT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Dec 27, 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.