Organization Active NPI

Derkin & Kula, Inc.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1821689449
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DERKIN & KULA, INC.
Practice address
4203 N Damen Ave Ste 1
Chicago, IL 60618-3399
Phone
(773) 453-9229
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Emily Derkin, LCPCNPI 1639667850
Title
Psychotherapist
Phone
(773) 453-9229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4203 N Damen Ave Ste 1
Chicago, IL 60618-3399

Mailing address

4203 N Damen Ave Ste 1
Chicago, IL 60618-3399
Phone (773) 453-9229

Other names 1

  • Reclaim Counseling and Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

4203 N Damen Ave
Ste 1
Chicago, IL 60618
Phone (760) 846-2503

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1821689449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 N DAMEN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183399",
            "telephone_number": "773-453-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 N DAMEN AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183399",
            "telephone_number": "773-453-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERKIN & KULA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "DERKIN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-453-9229",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reclaim Counseling and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 27, 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.