Humboldt Park Counseling, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HUMBOLDT PARK COUNSELING, PLLC

Practice address

938 N California Ave
Chicago, IL 60622-4462

Phone

(312) 620-0408

Fax

(312) 248-2595

NPI assigned

Nov 23, 2022

Last updated

Sep 6, 2023By 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

Carolyn Sellers, LCSWNPI 1871025940

Title

Owner, Psychotherapist

Phone

(815) 409-9805

Specialties & licenses 2

Addresses

Tax ID family

Humboldt Park Counseling PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Humboldt Park Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1093606097
  NPD tax ID
• Humboldt Park Counseling, PLLC

  dba Rogers Park Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1851094346
  NPD tax ID

Locations

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.

• Carolyn Sellers, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1871025940
  NPD (past) Authorized official

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1629787106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224462",
            "telephone_number": "312-620-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224462",
            "telephone_number": "312-620-0408",
            "fax_number": "312-248-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT PARK COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "815-409-9805",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Humbert, LMSW
• Humberto Vergara MD & Associates SC
• Humboldt Behavioral Health Group
• Humboldt Community Dental PC (Sonrisa Family Dental)
• Humboldt Park Counseling, PLLC
• Humboldt Park Counseling, PLLC
• Humboldt Park Counseling, PLLC (Rogers Park Counseling, PLLC)
• Humboldt Park Health
• Humboldt Park Health
• Humboldt Park Health (Physician Specialty)

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.