Cheryl Wooten

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178007636 Issued in IL

Practice address

6700 S South Shore Dr
Chicago, IL 60649-1310

Phone

(773) 955-9760

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336656453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E 52ND ST # 398",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154122",
            "telephone_number": "773-955-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S SOUTH SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491310",
            "telephone_number": "773-955-9760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1448 E 52nd",
            "address_2": "St # 398",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154122",
            "country_code": "US",
            "telephone_number": "773-955-9760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178007636",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178007636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monet Woolfolk, MD
• Cassandra Rose Woolley
• Morgan Woolley, LCSW
• Yi-Loong Colin Woon, M.D.
• Asia Tisean Wooten, MD
• Steven Wooten Jr., DO
• Elaine Worcester
• Melina D. Worcester
• Brittney L Worch
• Julia Worden

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.