Organization Active NPI

Nicolle Osequeda Counseling PLLC

Doing business as Lincoln Park Therapy Group

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1740094358
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NICOLLE OSEQUEDA COUNSELING PLLC
Doing business as
Lincoln Park Therapy Group
Practice address
2755 N Pine Grove Ave
Chicago, IL 60614-6109
Phone
(312) 860-2858
NPI assigned
Feb 4, 2025
Organization subpart
Yes
Parent organization
NICOLLE OSEQUEDA COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Jason Martin Osequeda, PHD
Title
Managing Director
Phone
(312) 937-5281

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2755 N Pine Grove Ave
Chicago, IL 60614-6109

Mailing address

828 W Waveland Ave Apt 1N
Chicago, IL 60613-6151
Phone (312) 937-5281

Other names 1

  • Lincoln Park Therapy Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nicolle Osequeda Counseling PLLC2 organizations share this tax ID, including this one
Part of
Nicolle Osequeda Counseling PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1740094358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 W WAVELAND AVE APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136151",
            "telephone_number": "312-937-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 N PINE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146109",
            "telephone_number": "312-860-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLLE OSEQUEDA COUNSELING PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICOLLE OSEQUEDA COUNSELING LLC",
        "enumeration_date": "2025-02-04",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "OSEQUEDA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "312-937-5281",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 6, 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.