Self-Connection Therapy and Wellness, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SELF-CONNECTION THERAPY AND WELLNESS, PLLC

Practice address

111 N Wabash Ave Ste 100
Chicago, IL 60602-1903

Phone

(312) 854-9236

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tasha Quinn, M.ED, LCPCNPI 1356080436

Title

Owner/Therapist

Phone

(312) 854-9236

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tasha Quinn, M.ED., LCPC

  • Mental Health Counselor
  • Berwyn, IL
  • NPI 1356080436

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1609682715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 100",
            "address_2": "THE GARLAND BUILDING #3985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-854-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-854-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-CONNECTION THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "312-854-9236",
        "authorized_official_credential": "M.ED, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Self Assembled Psychotherapy, PLLC
• Self Bound Counseling LLC
• Self Care Counseling Services
• Self Compassion Counseling, PLLC
• Self Theory LLC
• Self-Empowerment Counseling, PLLC
• Chelsea Self, MD
• Riley Self
• Selfcare, PLLC
• Jamie Selfridge, MSOT, OTR/L

• 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 Dec 4, 2024; 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.