Chicago Growth Mindset LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHICAGO GROWTH MINDSET LLC

Practice address

3111 N Cicero Ave
Chicago, IL 60641-5110

Phone

(773) 641-1321

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Nilsa Ruiz, LCSWNPI 1902468911

Title

Co-Owner

Phone

(773) 641-1321

Specialties & licenses 5

Addresses

Practitioners 1

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

• Nilsa Ruiz

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1902468911
  NPD (past) Authorized official

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1770049462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606415110",
            "telephone_number": "773-641-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606415110",
            "telephone_number": "773-641-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO GROWTH MINDSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "NILSA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "773-641-1321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 18, 2019; 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.