NPIMap

Organization Active NPI

Life Fulfillment Consultants, LLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1700528742
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFE FULFILLMENT CONSULTANTS, LLC
Practice address
6771 N Olmsted Ave Apt 1N
Chicago, IL 60631-1294
Phone
(773) 706-0038
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Ms. Suzanne C Pecoraro, LCSWNPI 1992101547
Title
Administrator
Phone
(773) 706-0038

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

6771 N Olmsted Ave Apt 1N
Chicago, IL 60631-1294

Mailing address

6771 N Olmsted Ave Apt 1N
Chicago, IL 60631-1294
Phone (773) 706-0038

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": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1700528742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 N OLMSTED AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311294",
            "telephone_number": "773-706-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 N OLMSTED AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311294",
            "telephone_number": "773-706-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FULFILLMENT CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "PECORARO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-706-0038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "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 Apr 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.

Verify at the official NPI Registry.