Active NPI
Urban Summit Psychotherapy PLLC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1679207682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erika Ostrander, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Chicago, IL
- NPI 1396184701
-
- Professional Counselor
- Chicago, IL
- NPI 1134040777
-
- Professional Counselor
- Chicago, IL
- NPI 1336870351
-
- Social Worker
- Chicago, IL
- NPI 1053184416
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.