Your Identity Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YOUR IDENTITY COUNSELING, PLLC

Practice address

119 S Western Ave Unit 1
Chicago, IL 60612-4644

Phone

(773) 234-4038

Fax

(773) 389-3599

NPI assigned

Nov 16, 2022

Organization subpart

No

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

Authorized official

Name

Avery M Ravitz, LCPCNPI 1285285445

Title

Owner

Phone

(773) 873-2969

Specialties & licenses 1

Addresses

Other names 2

• Your Identity Counseling Doing business as
• Anya Ravitz, DBA Your Identity Counseling Former legal business name

Practitioners 1

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

• Avery M Ravitz, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1285285445
  NPD Authorized official

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1427767623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644",
            "telephone_number": "773-234-4038",
            "fax_number": "773-389-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644",
            "telephone_number": "773-234-4038",
            "fax_number": "773-389-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR IDENTITY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "RAVITZ",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-873-2969",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Identity Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anya Ravitz, DBA Your Identity Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 Dec 17, 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.