Organization Active NPI

Ivory Healing Counseling LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1730005307
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IVORY HEALING COUNSELING LLC
Practice address
3348 W 63Rd St Apt 1
Chicago, IL 60629-3317
Phone
(773) 787-9769
NPI assigned
Jun 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Patricia Alejandra Gomez, LCSW
Title
Owner
Phone
(773) 787-9769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3348 W 63Rd St Apt 1
Chicago, IL 60629-3317

Mailing address

3348 W 63Rd St Apt 1
Chicago, IL 60629-3317

National Provider Directory

National Provider Directory

Locations

3348 W 63rd St
Apt 1
Chicago, IL 60629

NPI Registry JSON

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

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1730005307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3348 W 63RD ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 W 63RD ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293317",
            "telephone_number": "773-787-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY HEALING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-787-9769",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 26, 2026; 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.