NPIMap

Organization Active NPI

Present Mind Therapy Services Inc.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1689320145
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRESENT MIND THERAPY SERVICES INC.
Practice address
1152 N Kedzie Ave Apt 302
Chicago, IL 60651-4182
Phone
(312) 852-2111
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Mr. Theodore StriplingNPI 1700531787
Title
Counselor
Phone
(312) 852-2111

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 Primary

Addresses

Primary practice location

1152 N Kedzie Ave Apt 302
Chicago, IL 60651-4182

Mailing address

1152 N Kedzie Ave Apt 302
Chicago, IL 60651-4182
Phone (312) 852-2111

Other identifiers 1

IdentifierTypeStateIssuer
73645182OtherILIL STATE CORPORATION REGISTRATION

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": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1689320145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 N KEDZIE AVE APT 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514182",
            "telephone_number": "312-852-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N KEDZIE AVE APT 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514182",
            "telephone_number": "312-852-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENT MIND THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "STRIPLING",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "312-852-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE CORPORATION REGISTRATION",
            "identifier": "73645182",
            "state": "IL"
        }
    ],
    "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 Feb 23, 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.