Organization Active NPI

Element Therapy Group LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1790314284
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEMENT THERAPY GROUP LLC
Practice address
3143 N Sawyer Ave
Chicago, IL 60618-6802
Phone
(773) 320-3245
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Andrea Celerio
Title
Therapist/Agent
Phone
(773) 320-3245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3143 N Sawyer Ave
Chicago, IL 60618-6802

Mailing address

3143 N Sawyer Ave
Chicago, IL 60618-6802
Phone (773) 320-3245

National Provider Directory

National Provider Directory

Locations

3047 N Lincoln Ave
Chicago, IL 60657
Phone (773) 494-5505

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1790314284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3143 N SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186802",
            "telephone_number": "773-320-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 N SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186802",
            "telephone_number": "773-320-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENT THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "CELERIO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "THERAPIST/AGENT",
        "authorized_official_telephone_number": "773-320-3245"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, 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 Feb 24, 2025; 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.