Organization Active NPI

Elevate Therapy

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1568069128
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ELEVATE THERAPY
Practice address
1564 N Damen Ave Ste 208
Chicago, IL 60622-2102
Phone
(217) 512-0346
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Authorized official

Name
Raliat Q Adeboyejo, LCPCNPI 1093266090
Title
Licensed Therapist/Owner
Phone
(217) 512-0346

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1564 N Damen Ave Ste 208
Chicago, IL 60622-2102

Mailing address

1564 N Damen Ave Ste 208
Chicago, IL 60622-2102
Phone (217) 512-0346

National Provider Directory

National Provider Directory

Locations

1564 N Damen Ave
Ste 208
Chicago, IL 60622
Phone 2173477179 ext. 1090

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": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1568069128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 N DAMEN AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222102",
            "telephone_number": "217-512-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 N DAMEN AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222102",
            "telephone_number": "217-512-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "ADEBOYEJO",
        "authorized_official_first_name": "RALIAT",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "LICENSED THERAPIST/OWNER",
        "authorized_official_telephone_number": "217-512-0346",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "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 Jan 3, 2021; 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.