Embody & Mind Collective

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EMBODY & MIND COLLECTIVE

Practice address

53 W Jackson Blvd Ste 1334
Chicago, IL 60604-3548

Phone

(773) 309-1542

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Tesa Emmart, LCPC, LMHCNPI 1841524998

Title

Owner & Founder

Phone

(773) 309-1542

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tesa Emmart

  • Counselor
  • Elk Grove Village, IL
  • NPI 1841524998
  NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1750004370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1334",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043548",
            "telephone_number": "773-309-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1334",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043548",
            "telephone_number": "773-309-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODY & MIND COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "EMMART",
        "authorized_official_first_name": "TESA",
        "authorized_official_title_or_position": "OWNER & FOUNDER",
        "authorized_official_telephone_number": "773-309-1542",
        "authorized_official_credential": "LCPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Embodied Change, Inc
• Embodied Counseling
• Embodied Relational Healing PLLC
• Embodied Way Psychotherapy PLLC
• Embodied Wellness Center, PLLC
• Embolden Therapy
• Embrace Corazon Counseling PC
• Embrace Counseling and Wellness, PLLC
• Embrace Sexual Wellness, LLC.
• Embrace the Center for Emotional Wellbeing LLC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.