NPIMap

Organization Active NPI

Envision Counseling PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1679089569
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180009958 Issued in IL
Legal business name
ENVISION COUNSELING PLLC
Practice address
53 W Jackson Blvd Ste 1439
Chicago, IL 60604-3539
Phone
(773) 209-1984
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Mrs. Gracie Bates-Davis, LCPCNPI 1659883973
Title
Psychotherapist and Owner
Phone
(773) 209-1984

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180009958 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 1439
Chicago, IL 60604-3539

Mailing address

53 W Jackson Blvd Ste 1439
Chicago, IL 60604-3539
Phone (773) 209-1984

Other names 1

  • Gracie Bates-Davis Doing business as

National Provider Directory

National Provider Directory

Locations

53 W Jackson Blvd
Ste 1439
Chicago, IL 60604
Phone (773) 209-1984

Practitioners & 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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1679089569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043539",
            "telephone_number": "773-209-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1439",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043539",
            "telephone_number": "773-209-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "BATES-DAVIS",
        "authorized_official_first_name": "GRACIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST AND OWNER",
        "authorized_official_telephone_number": "773-209-1984",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracie Bates-Davis",
            "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 Nov 20, 2023; 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.