Active NPI
Mind and Movement Therapy PLLC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1669183166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MIND AND MOVEMENT THERAPY PLLC
- Practice address
- 3231 S. Halsted St
#157
Chicago, IL 60608 - Phone
- (312) 725-0540
- NPI assigned
- Dec 6, 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
- Laura Rae Venditti, LCPC
- Title
- Licensed Clinical Professional Coun
- Phone
- (312) 725-0540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3231 S. Halsted St
#157
Chicago, IL 60608
Mailing address
3231 S. Halsted St
#157
Chicago, IL 60608
Phone (312) 725-0540
National Provider Directory
National Provider DirectoryLocations
3231 S Halsted St
#157
Chicago, IL 60608
Phone (312) 725-0540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1669183166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 S. HALSTED ST",
"address_2": "#157",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "312-725-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 S. HALSTED ST",
"address_2": "#157",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "312-725-0540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND AND MOVEMENT THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A",
"authorized_official_last_name": "VENDITTI",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
"authorized_official_telephone_number": "312-725-0540",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"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 Dec 6, 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.