Offbeat Counseling Services PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OFFBEAT COUNSELING SERVICES PLLC

Practice address

4043 N Ravenswood Ave Ste 306E
Chicago, IL 60613-5683

Phone

(773) 658-9369

Fax

(773) 658-9369

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Samantha Prague, MA, LCPCNPI 1902468234

Title

Therapist/Owner

Phone

(773) 658-9369

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Samantha Prague, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1902468234
  NPD Authorized official

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1780331850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 N RAVENSWOOD AVE STE 306E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135683",
            "telephone_number": "773-658-9369",
            "fax_number": "773-658-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 N RAVENSWOOD AVE STE 306E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135683",
            "telephone_number": "773-658-9369",
            "fax_number": "773-658-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFBEAT COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "PRAGUE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "773-658-9369",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4043 N Ravenswood Ave Ste 306E",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606135683",
            "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 Apr 4, 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.