NPIMap

Organization Active NPI

Chicago Counseling Center, P.C.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1669749560
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007907 Issued in IL
Legal business name
CHICAGO COUNSELING CENTER, P.C.
Practice address
6160 N Cicero Ave
Suite 304
Chicago, IL 60646-4312
Phone
(773) 932-9597
Fax
(773) 243-0519
NPI assigned
Nov 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Mr. Taylor Newendorp, LCPCNPI 1497046338
Title
President
Phone
(773) 573-6569

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.007907 IL Primary

Addresses

Primary practice location

6160 N Cicero Ave
Suite 304
Chicago, IL 60646-4312

Mailing address

6160 N Cicero Ave
Suite 304
Chicago, IL 60646-4312
Phone (773) 932-9597

National Provider Directory

National Provider Directory
Tax ID family
Chicago Counseling Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6160 N Cicero Ave
Ste 304
Chicago, IL 60646
Phone (773) 932-9597

Practitioners & affiliated clinicians

Practitioners 11

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": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1669749560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE",
            "address_2": "SUITE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464312",
            "telephone_number": "773-932-9597",
            "fax_number": "773-243-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 N CICERO AVE",
            "address_2": "SUITE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464312",
            "telephone_number": "773-932-9597",
            "fax_number": "773-243-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO COUNSELING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "NEWENDORP",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-573-6569",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007907",
            "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 Oct 9, 2015; 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.