Embodied Wellness Center, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMBODIED WELLNESS CENTER, PLLC

Practice address

70 W Huron St Apt 1508
Chicago, IL 60654-5344

Phone

(224) 404-0164

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Rotman, MA, LCPCNPI 1821528068

Title

Founder, Psychotherapist

Phone

(224) 404-0164

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.

• Stephanie Rotman, MA

  • Counselor
  • Elk Grove Village, IL
  • NPI 1821528068
  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1407555964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 N CLARK ST # 171",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141848",
            "telephone_number": "224-404-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W HURON ST APT 1508",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545344",
            "telephone_number": "224-404-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "ROTMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FOUNDER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "224-404-0164",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omran Embia, M.D.
• Embodied Change, Inc
• Embodied Counseling
• Embodied Relational Healing PLLC
• Embodied Way Psychotherapy PLLC
• Embody & Mind Collective
• Embolden Therapy
• Embrace Corazon Counseling PC
• Embrace Counseling and Wellness, PLLC
• Embrace Sexual Wellness, LLC.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.