Organization Active NPI

Chicago Personal Growth Institute

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1669950911
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHICAGO PERSONAL GROWTH INSTITUTE
Practice address
223 W Jackson Blvd Ste 360
Chicago, IL 60606-6915
Phone
(312) 781-9550
Fax
(312) 631-3155
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Mr. Jeff J Stahl, LCPCNPI 1659556611
Title
Partner
Phone
(312) 636-7516

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

223 W Jackson Blvd Ste 360
Chicago, IL 60606-6915

Mailing address

223 W Jackson Blvd Ste 360
Chicago, IL 60606-6915
Phone (312) 781-9550

National Provider Directory

National Provider Directory

Locations

223 W Jackson Blvd
Ste 360
Chicago, IL 60606
Phone (312) 636-7516

Practitioners & affiliated clinicians

Practitioners 3

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": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1669950911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD STE 360",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066915",
            "telephone_number": "312-781-9550",
            "fax_number": "312-631-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W JACKSON BLVD STE 360",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606066915",
            "telephone_number": "312-781-9550",
            "fax_number": "312-631-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PERSONAL GROWTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-636-7516",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 30, 2018; 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.