Leap Therapy Chicago, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEAP THERAPY CHICAGO, PLLC

Practice address

1770 W Berteau Ave Ste 304
Chicago, IL 60613-6131

Phone

(312) 278-3771

NPI assigned

Aug 2, 2023

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa E Peterson, LMFTNPI 1528467503

Title

Manager / Owner

Phone

(312) 278-3771

Specialties & licenses 3

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Peterson, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1528467503
  NPD Authorized official
• James Richard McNamee, LCPC MED

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1407355225
  NPD
• Emily Wegh, MA, LPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1780412205
  NPD
• Julie Nilsen, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1467863415
  NPD (past)

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1730861337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 W BERTEAU AVE STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136131",
            "telephone_number": "312-278-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 W BERTEAU AVE STE 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136131",
            "telephone_number": "312-278-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP THERAPY CHICAGO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER / OWNER",
        "authorized_official_telephone_number": "312-278-3771",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leaning Into Living Counseling
• Leanna Fortunato Psychological Services, P.C.
• Brittany Leano, PA-C
• Leap 4 Health
• Leap of Faith Transportation,LLC
• Learning360 PLLC
• Daniel David Leary, MD, MA
• Steve Leary, LMT
• Bernard Lease
• John G Lease, MD

• 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 Oct 4, 2024; 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.