Somawise Chicago

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SOMAWISE CHICAGO

Practice address

2761 W Saint Mary St
Chicago, IL 60647-4022

Phone

(312) 810-9553

NPI assigned

Jun 10, 2019

Last updated

Jun 10, 2019By 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

Rachel Sherron, LCPCNPI 1346759693

Title

Licensed Counselor

Phone

(312) 810-9553

Specialties & licenses 1

Addresses

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.

• Rachel Sherron

  • Professional Counselor
  • Chicago, IL
  • NPI 1346759693
  Authorized official Same address or phone

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1821657289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 W SAINT MARY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474022",
            "telephone_number": "312-810-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 W SAINT MARY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474022",
            "telephone_number": "312-810-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMAWISE CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "SHERRON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "LICENSED COUNSELOR",
        "authorized_official_telephone_number": "312-810-9553",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.somawisechicago.com",
            "affiliation": "N",
            "address_1": "2761 W Saint Mary St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606474022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Soma Kai Nous Psychotherapy, PLLC
• Soma Rehab Inc
• Somag Development Corporation (Somag Transportation)
• Gabriela Somarriba
• Rithika Somasundaram
• Laura Anne Somberg
• Some Gay Therapy PLLC
• Someone Who Cares Home Health Care Inc
• Charlene Somera, DPT
• Somerset Place, LLC (Somerset Place)

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.