Organization Active NPI

Gholson Consulting Group, LLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1508242090
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149014440 Issued in IL
Legal business name
GHOLSON CONSULTING GROUP, LLC
Practice address
365 N Jefferson St Apt 2207
Chicago, IL 60661-1229
Phone
(217) 202-8433
NPI assigned
Aug 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Dr. Tiffany Cheryl Gholson, LCSW, PHD
Title
Ceo/Clinical Social Worker
Phone
(217) 202-8433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149014440 IL Primary

Addresses

Primary practice location

365 N Jefferson St Apt 2207
Chicago, IL 60661-1229

Mailing address

365 N Jefferson St Apt 2207
Chicago, IL 60661-1229
Phone (217) 202-8433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1508242090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 N JEFFERSON ST APT 2207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611229",
            "telephone_number": "217-202-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 N JEFFERSON ST APT 2207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611229",
            "telephone_number": "217-202-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOLSON CONSULTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "GHOLSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "CEO/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "217-202-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149014440",
            "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 Aug 6, 2015; 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.