Organization Active NPI

Severo Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1508563040
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SEVERO THERAPY PLLC
Practice address
1407 W Chicago Ave Ste 207
Chicago, IL 60642-5231
Phone
(312) 319-4650
Fax
(502) 499-4431
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Mrs. Christina Severo, LCSWNPI 1932830551
Title
Owner/LCSW
Phone
(502) 627-0093

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1407 W Chicago Ave Ste 207
Chicago, IL 60642-5231

Mailing address

1407 W Chicago Ave Ste 207
Chicago, IL 60642-5231
Phone (312) 319-4650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230307001216 KY Part B Supplier - Clinic/Group Practice 7719350057 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

1407 W Chicago Ave
Ste 207
Chicago, IL 60642

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1508563040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 W CHICAGO AVE STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425231",
            "telephone_number": "312-319-4650",
            "fax_number": "502-499-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W CHICAGO AVE STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425231",
            "telephone_number": "312-319-4650",
            "fax_number": "502-499-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERO THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "SEVERO",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "502-627-0093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 6, 2026; 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.