Embodied Change, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMBODIED CHANGE, INC

Practice address

2332 W Farwell Ave Apt 1E
Chicago, IL 60645-4753

Phone

(773) 726-7290

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Mollie Ryan, LCPCNPI 1316219892

Title

Owner/Psychotherapist

Phone

(773) 726-7290

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mollie Ryan, LCPC, BC-DMT

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1316219892
  NPD Authorized official

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1730656000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 W FARWELL AVE APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454753",
            "telephone_number": "773-726-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W FARWELL AVE APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454753",
            "telephone_number": "773-726-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED CHANGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-726-7290",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316219892",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emb Incorporated
• Embark Speech and Language Therapy
• Ember Counseling PLLC
• Ember Therapy, PLLC
• Omran Embia, M.D.
• Embodied Counseling
• Embodied Relational Healing PLLC
• Embodied Way Psychotherapy PLLC
• Embodied Wellness Center, PLLC
• Embody & Mind Collective

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.