Organization Active NPI

Inspired Growth Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1679340483
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
INSPIRED GROWTH THERAPY PLLC
Practice address
4043 N Ravenswood Ave Ste 309-6
Chicago, IL 60613-1155
Phone
(773) 234-2428
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Dr. Kelly Lynn Lemaire, PHDNPI 1619609096
Title
Owner
Phone
(773) 234-2428

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4043 N Ravenswood Ave Ste 309-6
Chicago, IL 60613-1155

Mailing address

1831 W Warner Ave Apt 2
Chicago, IL 60613-1862
Phone (574) 514-2347

National Provider Directory

National Provider Directory

Locations

4043 N Ravenswood Ave
Ste 3096
Chicago, IL 60613
Phone (773) 234-2428

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": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1679340483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 W WARNER AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131862",
            "telephone_number": "574-514-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 N RAVENSWOOD AVE STE 309-6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131155",
            "telephone_number": "773-234-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED GROWTH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "LEMAIRE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-234-2428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Dec 11, 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.