NPIMap

Organization Active NPI

Ewelina Beardmore Psychotherapy LLC

Doing business as Soleil Psychotherapy LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1376169284
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EWELINA BEARDMORE PSYCHOTHERAPY LLC
Doing business as
Soleil Psychotherapy LLC
Practice address
1700 W Irving Park Rd Ste 301
Chicago, IL 60613-2462
Phone
(312) 217-6072
NPI assigned
Jun 17, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Mrs. Ewelina Beardmore, LCPCNPI 1588908578
Title
Owner & Psychotherapist
Phone
(312) 217-6072

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1700 W Irving Park Rd Ste 301
Chicago, IL 60613-2462

Mailing address

1700 W Irving Park Rd Ste 301
Chicago, IL 60613-2462
Phone (312) 217-6072

Other identifiers 1

IdentifierTypeStateIssuer
1588908578OtherILNPI 1 FOR EWELINA BEARDMORE

Other names 1

  • Soleil Psychotherapy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1700 W Irving Park Rd
Ste 301
Chicago, IL 60613
Phone (312) 248-2882

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1376169284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132462",
            "telephone_number": "312-217-6072",
            "fax_number": "312-327-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132462",
            "telephone_number": "312-217-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWELINA BEARDMORE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "BEARDMORE",
        "authorized_official_first_name": "EWELINA",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-217-6072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1 FOR EWELINA BEARDMORE",
            "identifier": "1588908578",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soleil Psychotherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soleil Psychotherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 2020; 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.