Organization Active NPI

Mindfully Serene Pscyhotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1649834409
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFULLY SERENE PSCYHOTHERAPY LLC
Practice address
401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264
Phone
(773) 741-9531
Fax
(773) 825-8152
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Ivone Gutierrez, LCPCNPI 1255614228
Title
Owner/Psychotherapist
Phone
(773) 741-9531

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264

Mailing address

401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264
Phone (773) 741-9531

National Provider Directory

National Provider Directory

Locations

3245 Grove Ave
Ste 104
Berwyn, IL 60402
Phone (708) 390-0222

Practitioners & affiliated clinicians

Practitioners 1

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": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1649834409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "773-741-9531",
            "fax_number": "773-825-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "773-741-9531",
            "fax_number": "773-825-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY SERENE PSCYHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "IVONE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-741-9531",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Mar 10, 2025; 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.