NPIMap

Organization Active NPI

Evolve Counseling Centers LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1639708563
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EVOLVE COUNSELING CENTERS LLC
Practice address
1041 N Western Ave
Chicago, IL 60622-3571
Phone
(773) 526-8650
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Alisha R Warren, LCSWNPI 1326520081
Title
Owner/Psychotherapist
Phone
(773) 526-8650

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1041 N Western Ave
Chicago, IL 60622-3571

Mailing address

4601 N Monticello Ave Apt 1
Chicago, IL 60625-6401
Phone (773) 526-8650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1639708563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N MONTICELLO AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256401",
            "telephone_number": "773-526-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223571",
            "telephone_number": "773-526-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE COUNSELING CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-526-8650",
        "authorized_official_credential": "LCSW"
    },
    "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 Apr 3, 2020; 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.