Active NPI
Elevate Therapy
- Professional Counselor
- Chicago, IL
National Provider Identifier
1568069128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raliat Q Adeboyejo, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1093266090
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.