Organization Active NPI

Mind's Eye Psychotherapy and Consultation, PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1588315733
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND'S EYE PSYCHOTHERAPY AND CONSULTATION, PLLC
Practice address
1715 W Roscoe St
Chicago, IL 60657-1015
Phone
(847) 337-9899
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Sharon Steckler, LCSWNPI 1821266396
Title
Director
Phone
(847) 337-9899

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1715 W Roscoe St
Chicago, IL 60657-1015

Mailing address

1715 W Roscoe St
Chicago, IL 60657-1015
Phone (847) 337-9899

National Provider Directory

National Provider Directory

Locations

3304 N Lincoln Ave
Ste F
Chicago, IL 60657

3304 N Lincoln Ave
Ste G
Chicago, IL 60657
Phone (312) 809-0208

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1588315733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571015",
            "telephone_number": "847-337-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571015",
            "telephone_number": "847-337-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND'S EYE PSYCHOTHERAPY AND CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "STECKLER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-337-9899",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 10, 2022; 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.