Organization Active NPI

Libre Therapy and Wellness PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1396434759
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIBRE THERAPY AND WELLNESS PLLC
Practice address
2157 W Cermak Rd
Chicago, IL 60608-7076
Phone
(312) 702-2564
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Andrea Carolina Godinez, LCSWNPI 1295399038
Title
Ceo/Therapist
Phone
(312) 702-2564

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2157 W Cermak Rd
Chicago, IL 60608-7076

Mailing address

2157 W Cermak Rd
Chicago, IL 60608-7076
Phone (312) 702-2564

National Provider Directory

National Provider Directory

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": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1396434759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606087076",
            "telephone_number": "312-702-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606087076",
            "telephone_number": "312-702-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRE THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "312-702-2564",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 Feb 6, 2025; 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.