Take Heart Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TAKE HEART COUNSELING

Practice address

1309 W Columbia Ave
Chicago, IL 60626-4325

Phone

(773) 967-9085

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Audra K Eisin-Banazek, LCPCNPI 1760013023

Title

Professional Counselor

Phone

(773) 967-9085

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audra K Eisin-Banazek, L.C.P.C

  • Professional Counselor
  • Chicago, IL
  • NPI 1760013023
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1689333726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 W COLUMBIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264325",
            "telephone_number": "773-720-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 W COLUMBIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264325",
            "telephone_number": "773-967-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE HEART COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "EISIN-BANAZEK",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "773-967-9085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarren Takaki
• Hajra Ashur a Takala, MD., MPH.
• Hiroki Takaya, M.D., PH.D.
• Take Action, Inc
• Take Care Psychotherapy Services PLLC
• Take Pride Physical Therapy, PLLC
• Aki Take
• Moe Takeda
• Joe Takehara, D.D.S.
• Mark Akira Takesuye, OD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.