Practical Audacity LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010161 Issued in IL

Legal business name

PRACTICAL AUDACITY LLC

Practice address

3530 W Palmer St Apt 2
Chicago, IL 60647-3575

Phone

(318) 547-1823

NPI assigned

Dec 14, 2017

Organization subpart

No

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

Authorized official

Name

Rena McDaniel, MED, LCPCNPI 1750706461

Title

Founder and Therapist

Phone

(318) 547-1823

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rena McDaniel, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1750706461
  NPD (past) Authorized official

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1407361314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 W PALMER ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473575",
            "telephone_number": "318-547-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 W PALMER ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473575",
            "telephone_number": "318-547-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL AUDACITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "FOUNDER AND THERAPIST",
        "authorized_official_telephone_number": "318-547-1823",
        "authorized_official_credential": "MED, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjiv Prabhu, M.D.
• Sarala P Prabhu, MD
• Sherefuddin Hasan Pracha
• Vivek Prachand
• Sariya Prachukthum, M.D.
• Practical Magic Healing
• Gabriel Prada Aguilera, MD
• Carlos Enrique Prada, M.D.
• Pallavi Pradeep, MD
• Nicholas Basant Pradhan, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.