Organization Active NPI

Hidden Gem Therapeutics

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1760193957
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HIDDEN GEM THERAPEUTICS
Practice address
6323 N Avondale Ave Ste 140
Chicago, IL 60631-1958
Phone
(708) 665-5491
NPI assigned
Dec 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Danielle Kroll, LCSWNPI 1770088601
Title
Owner/Pyschotherapist
Phone
(224) 766-9123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6323 N Avondale Ave Ste 140
Chicago, IL 60631-1958

Mailing address

6323 N Avondale Ave Ste 140
Chicago, IL 60631-1958
Phone (708) 665-5491

National Provider Directory

National Provider Directory

Locations

6325 N Avondale Ave
Ste 211
Chicago, IL 60631

6323 N Avondale Ave
Ste 140
Chicago, IL 60631
Phone (708) 665-5491

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1760193957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311958",
            "telephone_number": "708-665-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311958",
            "telephone_number": "708-665-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN GEM THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/PYSCHOTHERAPIST",
        "authorized_official_telephone_number": "224-766-9123",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 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.