Indivo Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INDIVO COUNSELING

Practice address

6331 N Glenwood Ave Apt 2
Chicago, IL 60660-1340

Phone

(773) 573-6727

NPI assigned

Apr 30, 2021

Last updated

Mar 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grant Barlow, LCPCNPI 1154967982

Title

Founder

Phone

(773) 573-6727

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Grant Barlow, LPCC

  • Professional Counselor
  • Chicago, IL
  • NPI 1154967982
  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1780267583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N CLARK ST # 1010",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 N GLENWOOD AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601340",
            "telephone_number": "773-573-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVO COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "BARLOW",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-573-6727",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1154967982",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "doxy.me",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA compliant platform",
            "address_1": "6331 N Glenwood Ave Apt 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606601340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 29, 2024; 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.