Organization Active NPI

With Grace Counseling PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1710616883
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
WITH GRACE COUNSELING PLLC
Practice address
659 W Randolph St Apt 1808
Chicago, IL 60661-2252
Phone
(615) 945-5882
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Grace Hicks, LCPC, NCC, MA
Title
LCPC
Phone
(615) 945-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

659 W Randolph St Apt 1808
Chicago, IL 60661-2252

Mailing address

659 W Randolph St Apt 1808
Chicago, IL 60661-2252
Phone (615) 945-5882

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": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1710616883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 W RANDOLPH ST APT 1808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612252",
            "telephone_number": "615-945-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 W RANDOLPH ST APT 1808",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612252",
            "telephone_number": "615-945-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH GRACE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "615-945-5882",
        "authorized_official_credential": "LCPC, NCC, MA"
    },
    "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 Jun 6, 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.