Active NPI
Breathing Space: Mindfulness and Therapy
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1659019396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BREATHING SPACE: MINDFULNESS AND THERAPY
- Practice address
- 2105 W 18TH Street
Chicago, IL 60608 - Phone
- (773) 677-1388
- NPI assigned
- May 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dianna Stencel, LCSW
- Title
- Owner/ Clinical Social Worker
- Phone
- (773) 677-1388
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2105 W 18TH Street
Chicago, IL 60608
Mailing address
2105 W 18TH Street
Chicago, IL 60608
Phone (773) 677-1388
Other names 1
- Breathing Space Chicago
National Provider Directory
National Provider DirectoryPractitioners & 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": "1653264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653264000000",
"number": "1659019396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 W 18TH STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "773-677-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 W 18TH STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "773-677-1388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHING SPACE: MINDFULNESS AND THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-23",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "STENCEL",
"authorized_official_first_name": "DIANNA",
"authorized_official_title_or_position": "OWNER/ CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "773-677-1388",
"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": [
{
"organization_name": "Breathing Space Chicago",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.