Cathartic Space LTD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008355 Issued in IL

Legal business name

CATHARTIC SPACE LTD

Practice address

3166 N Lincoln Ave
Suite 207
Chicago, IL 60657-3133

Phone

(773) 633-9075

NPI assigned

Jan 26, 2015

Organization subpart

No

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

Authorized official

Name

Kristen Jacobsen, LCPC

Title

Owner

Phone

(773) 633-9075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1730579012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "SUITE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE",
            "address_2": "SUITE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573133",
            "telephone_number": "773-633-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHARTIC SPACE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-633-9075",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalind Catchatourian, MD
• Daniel V Catenacci
• Curtis Christopher Cates, M.D.
• Catharine Devlin, PSYD, SC
• Catharsis Counseling and Art Therapy
• Donald Roy Catherall, PH.D.
• Kim A. Catherall, PH.D.
• Catherine Barnhart, PSYD, SC
• Catherine J Minnick DPM PC
• Catherine M Wilbert, MD, Facog, SC

• 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 Jan 26, 2015; 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.