Open Space Therapy, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OPEN SPACE THERAPY, PLLC

Practice address

2280 Hicks Road Suite 508
Rolling Meadows, IL 60008

Phone

(872) 248-4188

NPI assigned

Feb 20, 2025

Last updated

Feb 20, 2025By 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

Jarred Lynn Fitch, LCSWNPI 1750082962

Title

Owner

Phone

(872) 248-4188

Specialties & licenses 1

Addresses

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.

• Jarred Lynn Fitch, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1750082962
  NPD Authorized official

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1669278875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 N LINCOLN AVE STE 364",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HICKS ROAD SUITE 508",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "60008",
            "telephone_number": "872-248-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN SPACE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "JARRED",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "872-248-4188",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rolling Meadows, IL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.