Coffee Talk Counseling, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COFFEE TALK COUNSELING, INC.

Practice address

3528 N Ashland Ave
Chicago, IL 60657-1314

Phone

(773) 250-1774

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Sharon Ello, LCSWNPI 1740680412

Title

Owner

Phone

(630) 699-2747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sharon Ello, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1740680412
  NPD (past) Authorized official

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1548752355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 W PRATT BLVD APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571314",
            "telephone_number": "773-250-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE TALK COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "ELLO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-699-2747",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Coenen, ST
• Danielle Coenen
• Kristina Coenen, LCPC
• Catrina Cofer, LMT
• Kristina Kobbeman Cofer, ATC
• Alexs Nicole Coffee, PHARMD
• Brian T Coffey, O.D.
• Colleen Coffey, MS, RDN, LDN
• Gillian Grace Coffey, MD
• Michelle Coffey, DC, CCSP

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.