Organization Active NPI

Reflective Therapy & Consulting PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1770172298
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
REFLECTIVE THERAPY & CONSULTING PLLC
Practice address
1710 N Sedgwick St # 1F
Chicago, IL 60614-5722
Phone
(773) 316-8032
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Amalia C Pryor, LCSWNPI 1194214551
Title
Clinical Social Worker
Phone
(773) 316-8032

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1710 N Sedgwick St # 1F
Chicago, IL 60614-5722

Mailing address

1710 N Sedgwick St # 1F
Chicago, IL 60614-5722
Phone (773) 316-8032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210428002945 IL Part B Supplier - Clinic/Group Practice 7618386814 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

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": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1770172298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N SEDGWICK ST # 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145722",
            "telephone_number": "773-316-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N SEDGWICK ST # 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145722",
            "telephone_number": "773-316-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIVE THERAPY & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-316-8032",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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 Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.