Organization Active NPI

Lindsey Reynoso, LCSW: Mental Health Counseling & Consulting, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1376262188
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LINDSEY REYNOSO, LCSW: MENTAL HEALTH COUNSELING & CONSULTING, PLLC
Practice address
230 E Ohio St Ste 4101152
Chicago, IL 60611-3265
Phone
(480) 442-5007
NPI assigned
Aug 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Mrs. Lindsey L. Reynoso, LCSW, MSW, CCTP, BSPNPI 1871036640
Title
Licensed Clinical Social Worker
Phone
(480) 442-5007

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

230 E Ohio St Ste 4101152
Chicago, IL 60611-3265

Mailing address

428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261
Phone (480) 442-5007

Other practice location 1

428 S Gilbert Rd Ste 105
Gilbert, AZ 85296-2261
Phone (480) 442-5007

Other identifiers 1

IdentifierTypeStateIssuer
1871036640OtherINDIVIDUAL PROVIDER NPI

Other names 3

  • Lindsey L Jensen Doing business as
  • Lindsey Reynoso Doing business as
  • Lindsey Jensen LCSW PLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lindsey Jensen LCSW PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 E Ohio St
Ste 4101152
Chicago, IL 60611
Phone (480) 442-5007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1376262188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962261",
            "telephone_number": "480-442-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST STE 4101152",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113265",
            "telephone_number": "480-442-5007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 S Gilbert Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852962261",
            "country_code": "US",
            "telephone_number": "480-442-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINDSEY REYNOSO, LCSW: MENTAL HEALTH COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "480-442-5007",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, MSW, CCTP, BSP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1871036640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindsey L Jensen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lindsey L Jensen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lindsey Reynoso",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lindsey Jensen LCSW PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 30, 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.