Organization Active NPI

Urban Summit Psychotherapy PLLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1679207682
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
URBAN SUMMIT PSYCHOTHERAPY PLLC
Practice address
1921 W Diversey Pkwy Apt 302
Chicago, IL 60614-9412
Phone
(773) 984-4762
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Erika Ostrander, LCPCNPI 1396184701
Title
Ceo
Phone
(773) 984-4762

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: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1921 W Diversey Pkwy Apt 302
Chicago, IL 60614-9412

Mailing address

1921 W Diversey Pkwy Apt 302
Chicago, IL 60614-9412
Phone (773) 984-4762

National Provider Directory

National Provider Directory

Locations

2551 N Clark St
Ste 405
Chicago, IL 60614

Practitioners & affiliated clinicians

Practitioners 4

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": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1679207682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W DIVERSEY PKWY APT 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149412",
            "telephone_number": "773-984-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W DIVERSEY PKWY APT 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149412",
            "telephone_number": "773-984-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN SUMMIT PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-984-4762",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "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 Jul 14, 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.

Verify at the official NPI Registry.