NPIMap

Organization Active NPI

Connected Counseling Chicago, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1689063588
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016836 Issued in IL
Legal business name
CONNECTED COUNSELING CHICAGO, LLC
Practice address
2131 W Giddings St
Unit 3a
Chicago, IL 60625-1494
Phone
(920) 988-7549
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Amanda Jones, LCSWNPI 1558791285
Title
Owner/Therapist
Phone
(920) 988-7549

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.016836 IL Primary

Addresses

Primary practice location

2131 W Giddings St
Unit 3a
Chicago, IL 60625-1494

Mailing address

2131 W Giddings St
Unit 3a
Chicago, IL 60625-1494
Phone (920) 988-7549

National Provider Directory

National Provider Directory

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": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1689063588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 W GIDDINGS ST",
            "address_2": "UNIT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251494",
            "telephone_number": "920-988-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 W GIDDINGS ST",
            "address_2": "UNIT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251494",
            "telephone_number": "920-988-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED COUNSELING CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "920-988-7549",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016836",
            "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 Jan 15, 2015; 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.