Organization Active NPI

E Reynoso Counseling LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1508632712
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
E REYNOSO COUNSELING LLC
Practice address
4611 N Ravenswood Ave Ste 104
Chicago, IL 60640-7568
Phone
(773) 307-0334
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Emily Reynoso, LCPCNPI 1689188260
Title
Counselor
Phone
(773) 307-0334

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4611 N Ravenswood Ave Ste 104
Chicago, IL 60640-7568

Mailing address

6714 W Thorndale Ave
Chicago, IL 60631-3107

National Provider Directory

National Provider Directory

Locations

4611 N Ravenswood Ave
Ste 104
Chicago, IL 60640
Phone (773) 307-0334

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": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1508632712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 W THORNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407568",
            "telephone_number": "773-307-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E REYNOSO COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "773-307-0334",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "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 Nov 29, 2023; 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.