Organization Active NPI

Centered Path Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1447847579
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTERED PATH THERAPY PLLC
Practice address
3323 W Diversey Ave # 17
Chicago, IL 60647-8582
Phone
(773) 340-2517
Fax
(872) 702-6454
NPI assigned
Dec 22, 2020
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Taylor Leyh Moore, LCSW, CADCNPI 1730428525
Title
Psychotherapist
Phone
(630) 405-8394

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3323 W Diversey Ave # 17
Chicago, IL 60647-8582

Mailing address

2304 N Spaulding Ave
Chicago, IL 60647-2520

Other practice location 1

3323 W Diversey Ave Ste 17
Chicago, IL 60647-8582
Phone (630) 405-8394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421001532 IL Part B Supplier - Clinic/Group Practice 7214345750 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3323 W Diversey Ave
Chicago, IL 60647

3323 W Diversey Ave
#17
Chicago, IL 60647
Phone (773) 340-2517

3323 W Diversey Ave
Ste 17
Chicago, IL 60647
Phone (630) 405-8394

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1447847579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 N SPAULDING AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 W DIVERSEY AVE # 17",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478582",
            "telephone_number": "773-340-2517",
            "fax_number": "872-702-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3323 W Diversey Ave Ste 17",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606478582",
            "country_code": "US",
            "telephone_number": "630-405-8394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTERED PATH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "LEYH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "630-405-8394",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "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 Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.