Active NPI
SG Therapy Services, PLLC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1386485654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SG THERAPY SERVICES, PLLC
- Practice address
- 2451 N Lincoln Ave Ste 204
Chicago, IL 60614-2422 - Phone
- (872) 529-6785
- NPI assigned
- Jun 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Greenwald, LCPC, CADC
- Title
- Counselor/Founder
- Phone
- (847) 227-7162
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2451 N Lincoln Ave Ste 204
Chicago, IL 60614-2422
Mailing address
263 Tonell Ave
New Lenox, IL 60451-1970
Phone (847) 227-7162
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1982178059
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1386485654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 TONELL AVE",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511970",
"telephone_number": "847-227-7162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 N LINCOLN AVE STE 204",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142422",
"telephone_number": "872-529-6785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SG THERAPY SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-03",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "GREENWALD",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "COUNSELOR/FOUNDER",
"authorized_official_telephone_number": "847-227-7162",
"authorized_official_credential": "LCPC, CADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-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 Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.