Horizon Psychotherapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HORIZON PSYCHOTHERAPY LLC

Practice address

3354 N Paulina St Ste 206F
Chicago, IL 60657-1087

Phone

(219) 916-0822

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Robert Russell Dunevant, MA LCPSNPI 1285148510

Title

Supervisor and Psychotherapist

Phone

(219) 916-0822

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Robert Russell Dunevant, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1285148510
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1841872082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 N PINE GROVE AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577381",
            "telephone_number": "219-916-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 N PAULINA ST STE 206F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571087",
            "telephone_number": "219-916-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "DUNEVANT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "SUPERVISOR AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "219-916-0822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LCPS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

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