Cultivate Your Essence

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

180.010875 Issued in IL

Legal business name

CULTIVATE YOUR ESSENCE

Practice address

1136 S Delano CT W Ste B201
Chicago, IL 60605-3734

Phone

(708) 238-0445

NPI assigned

Jul 29, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Lauren Michelle Jackson, LCPC, CDVPNPI 1689049744

Title

Owner/Lead Therapist

Phone

(708) 238-0445

Specialties & licenses 1

Addresses

Practitioners 2

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

• Lauren Michelle Jackson, LPC

  • Professional Counselor
  • Richton Park, IL
  • NPI 1689049744
  NPD Authorized official
• Jessica Ashley Love Jordan, PHD, LCPC, NCC, CADC

  • Professional Counselor
  • Matteson, IL
  • NPI 1518493139
  NPD (past)

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532822400000",
    "number": "1558849919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 LIONCREST DR",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711316",
            "telephone_number": "708-238-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W STE B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053734",
            "telephone_number": "708-238-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE YOUR ESSENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "708-238-0445",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, CDVP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180.010875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E. Cullins, M.D.
• Timothy Cullitan, LCPC, CADC
• Anne Cullum, RN
• Emily Cullum
• Sean Michael Culp
• Cultivating Calm Counseling LLC
• Cultivating Light, LLC
• Cultura Speech Therapy PLLC
• Culture of Safety
• Culture the Corporate

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.