Ethan J York, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.016597 Issued in IL

Practice address

53 W Jackson Blvd Ste 510
Chicago, IL 60604-3434

Phone

(312) 324-4711

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• York Clinical Consultation and Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1265377766
  NPD Authorized official
• Pneuma Therapeutic Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1154893352
  NPD
• Pneuma Therapeutic Services

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1396610697
  NPD (past)

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1609441013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 S KOSTNER AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234219",
            "telephone_number": "414-882-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043434",
            "telephone_number": "312-324-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "ETHAN",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.016597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Thaddeus Yore, LCSW
• Jodie Lynn Yorg
• York Bilingual Speech Services, LLC
• York Clinical Consultation and Therapy PLLC
• Desiree York
• Gretchen York
• Jessica York
• Monica York, ED.D; ED.S.; LCSW
• Sloane Leslie York, MD
• Susannah F York, CCC-SLP

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.