Patricia Pena Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PATRICIA PENA THERAPY LLC

Practice address

3705 N Elston Ave
Chicago, IL 60618-4309

Phone

(507) 556-7289

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Patricia Pena, LMFTNPI 1174070833

Title

Owner/Psychotherapist

Phone

(773) 807-5101

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Patricia Pena

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1174070833
  NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1457983868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 W RASCHER AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401118",
            "telephone_number": "773-807-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184309",
            "telephone_number": "507-556-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA PENA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-807-5101",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Gale, MD, S.C.
• Patricia Gilleran DDS PC
• Patricia Harthun LCPC LTD
• Patricia L. Ashley LLC
• Patricia M. Boatwright, M.D., P.C.
• Patricia S Mikes MD SC (University Affiliated Physicians)
• Myrna M Patricio, MD
• Patrick Gehrlich PLLC
• Patrick J Gallagher MD SC
• Patrick J Sullivan MDSC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.