Luminary Solutions, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LUMINARY SOLUTIONS, PLLC

Practice address

3166 N Lincoln Ave Ste 305
Chicago, IL 60657-3119

Phone

(847) 920-8811

NPI assigned

Sep 19, 2020

Last updated

Aug 25, 2021By 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

Dr. Matthew Liberatore, E.D., LCPCNPI 1184180432

Title

Founder and Clinical Counselor

Phone

(847) 920-8811

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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.

• Matthew Liberatore, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1184180432
  NPD Authorized official
• Nidisha Kaul, MA, MS

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1548875503
  NPD

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1790391373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W GRACE ST APT 421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136089",
            "telephone_number": "312-813-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 N LINCOLN AVE STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573119",
            "telephone_number": "847-920-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARY SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "LIBERATORE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FOUNDER AND CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "847-920-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "E.D., LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mliberatore@luminarysolutions.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3166 N Lincoln Ave Ste 305",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606573119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.