Organization Active NPI

Sean P. Patton PC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1558815977
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.008409 Issued in IL
Legal business name
SEAN P. PATTON PC
Practice address
53 W Jackson Blvd
Suite 440
Chicago, IL 60604-3606
Phone
(312) 316-2881
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Mr. Sean Patrick Patton, LCPC, CRADC
Title
President
Phone
(312) 316-2881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 30179 IL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.008409 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd
Suite 440
Chicago, IL 60604-3606

Mailing address

1462 Ridge Ave
Evanston, IL 60201-4149
Phone (312) 316-2881

Other names 1

  • WholeLife Counseling and Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

53 W Jackson Blvd
Ste 440
Chicago, IL 60604
Phone (312) 316-2881

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1558815977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014149",
            "telephone_number": "312-316-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "SUITE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "312-316-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN P. PATTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-316-2881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC, CRADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "30179",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WholeLife Counseling and Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2016; 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.