Organization Active NPI

Korey McWilliams, LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1366951071
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KOREY MCWILLIAMS, LLC
Practice address
655 W Irving Park Rd Ste 202
Chicago, IL 60613-4932
Phone
(312) 543-0438
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Korey McWilliams
Title
Owner
Phone
(312) 543-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

655 W Irving Park Rd Ste 202
Chicago, IL 60613-4932

Mailing address

1146 W Morse Ave Apt 4a
Chicago, IL 60626-3587

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1366951071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 W MORSE AVE APT 4A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134932",
            "telephone_number": "312-543-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREY MCWILLIAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "KOREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-543-0438"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, 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 Sep 26, 2017; 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.