NPIMap

Organization Active NPI

Willis Counseling and Consulting

  • Counselor
  • Chicago, IL
National Provider Identifier
1770965931
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.009621 Issued in IL
Legal business name
WILLIS COUNSELING AND CONSULTING
Practice address
1448 N Milwaukee Ave
205
Chicago, IL 60622-9225
Phone
(312) 476-9064
NPI assigned
Jun 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Kate Farrell, LCPC
Title
Clinical Therapist
Phone
(312) 476-9064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 180.009621 IL Primary

Addresses

Primary practice location

1448 N Milwaukee Ave
205
Chicago, IL 60622-9225

Mailing address

1448 N Milwaukee Ave
205
Chicago, IL 60622-9225

National Provider Directory

National Provider Directory
Tax ID family
Willis Counseling and Consulting2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1448 N Milwaukee Ave
#205
Chicago, IL 60622

Practitioners & affiliated clinicians

Practitioners 8

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": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1770965931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE",
            "address_2": "205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N MILWAUKEE AVE",
            "address_2": "205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606229225",
            "telephone_number": "312-476-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "312-476-9064",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.009621",
            "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 Jun 25, 2015; 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.