Organization Active NPI

Up Your Game Counseling PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1609699743
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UP YOUR GAME COUNSELING PLLC
Practice address
4250 N Marine Dr Ste 200
Chicago, IL 60613-1936
Phone
(312) 373-0684
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Ellie Feldmann
Title
Credentialing Contractor
Phone
(773) 789-8934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4250 N Marine Dr Ste 200
Chicago, IL 60613-1936

Mailing address

4250 N Marine Dr Ste 200
Chicago, IL 60613-1936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1609699743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N MARINE DR STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131936",
            "telephone_number": "312-373-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP YOUR GAME COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FELDMANN",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "CREDENTIALING CONTRACTOR",
        "authorized_official_telephone_number": "773-789-8934"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Nov 6, 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.