Organization Active NPI

Breathe and Be Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1831896406
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BREATHE AND BE THERAPY PLLC
Practice address
5145 N Clark St # 1061
Chicago, IL 60640-2829
Phone
(773) 340-3903
NPI assigned
Feb 14, 2023
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Ashlyn Zinck, LCPCNPI 1417467721
Title
Owner
Phone
(773) 340-3903

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5145 N Clark St # 1061
Chicago, IL 60640-2829

Mailing address

5145 N Clark St # 1061
Chicago, IL 60640-2829
Phone (773) 340-3903

National Provider Directory

National Provider Directory

Locations

5145 N Clark St
#1061
Chicago, IL 60640
Phone (502) 517-6054

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1831896406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 N CLARK ST # 1061",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402829",
            "telephone_number": "773-340-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CLARK ST # 1061",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402829",
            "telephone_number": "773-340-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE AND BE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "ZINCK",
        "authorized_official_first_name": "ASHLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-340-3903",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult 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 14, 2023; 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.