Active NPI
E Reynoso Counseling LLC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1508632712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emily Reynoso, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1689188260
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.