Charism Counseling Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHARISM COUNSELING CENTER

Practice address

661 West Lake Street
Suite 2S
Chicago, IL 60661

Phone

(773) 230-7536

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Tiffany Green, LCPC, MA, MBA, MDIVNPI 1346768413

Title

Psychotherapist

Phone

(773) 230-7536

Specialties & licenses 2

Addresses

Practitioners 1

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

• Tiffany E Green, MAPC

  • Professional Counselor
  • Aurora, IL
  • NPI 1346768413

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1730752403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST STE 152",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 WEST LAKE STREET",
            "address_2": "SUITE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60661",
            "telephone_number": "773-230-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARISM COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-230-7536",
        "authorized_official_credential": "LCPC, MA, MBA, MDIV"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Z Chapters, APN
• Joyce Mary Chaput, M.D.
• Fady T Charbel, M.D.
• Taylor Charest, MD
• Chariots on Wheels Transport (Donald M Seay)
• Ekaterina Margaret Charland, LCPC
• Charles B Holmes, MD, SC
• Charles C. Anderson Ed.D Reg Psy
• Charles Caplis DPM SC
• Charles D. Campbell, MD LTD

• 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 May 21, 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.