NPIMap

Organization Active NPI

Chicago Center for Psychotherapy LLC

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1841589462
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHICAGO CENTER FOR PSYCHOTHERAPY LLC
Practice address
137 N Oak Park Ave Ste 327
Oak Park, IL 60301-1375
Phone
(708) 848-0491
Fax
(708) 848-2876
NPI assigned
Apr 5, 2011
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Ms. Nicole M Rea, LCSW
Title
Licensed Clinical Social Worker
Phone
(708) 996-0699

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-004882 IL
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

137 N Oak Park Ave Ste 327
Oak Park, IL 60301-1375

Mailing address

137 N Oak Park Ave Ste 327
Oak Park, IL 60301-1375
Phone (708) 848-0491

Other practice location 1

1300 W Belmont Ave Ste 207
Chicago, IL 60657-3240
Phone (708) 848-0491

Other practice location 2

180 N Michigan Ave Ste 1510
Chicago, IL 60601-7484
Phone (708) 848-0491

National Provider Directory

National Provider Directory

Locations

137 N Oak Park Ave
Ste 327
Oak Park, IL 60301
Phone (708) 848-0491

Practitioners & affiliated clinicians

Practitioners 9

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": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1841589462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 327",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011375",
            "telephone_number": "708-848-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE STE 327",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011375",
            "telephone_number": "708-848-0491",
            "fax_number": "708-848-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Belmont Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573240",
            "country_code": "US",
            "telephone_number": "708-848-0491",
            "fax_number": "708-848-2876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 N Michigan Ave Ste 1510",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017484",
            "country_code": "US",
            "telephone_number": "708-848-0491",
            "fax_number": "708-848-2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO CENTER FOR PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "708-996-0699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004882",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.