Organization Active NPI

Dash Therapy & Coaching

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1528699238
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DASH THERAPY & COACHING
Practice address
205 N Michigan Ave Ste 1660
Chicago, IL 60601-6022
Phone
(312) 779-0730
Fax
(773) 825-8229
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Mrs. Nicole Woodcox Bolden, LCSWNPI 1427574714
Title
Co-Owner/Therapist
Phone
(312) 779-0730

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 1

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

Addresses

Primary practice location

205 N Michigan Ave Ste 1660
Chicago, IL 60601-6022

Mailing address

205 N Michigan Ave Ste 1660
Chicago, IL 60601-6022
Phone (312) 779-0730

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chicago Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

205 N Michigan Ave
Ste 1660
Chicago, IL 60601
Phone (312) 585-7288

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": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1528699238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N MICHIGAN AVE STE 1660",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016022",
            "telephone_number": "312-779-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N MICHIGAN AVE STE 1660",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606016022",
            "telephone_number": "312-779-0730",
            "fax_number": "773-825-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASH THERAPY & COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "WOODCOX BOLDEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CO-OWNER/THERAPIST",
        "authorized_official_telephone_number": "312-779-0730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chicago",
            "affiliation": "N",
            "endpointDescription": "Hello@Boldenlcsw.sprucecare.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 N Michigan Ave Ste 1660",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606016022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 31, 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.