Active NPI
Grow Connected Counseling, PLLC
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1851027494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GROW CONNECTED COUNSELING, PLLC
- Practice address
- 205 N Michigan Ave Ste 810
Chicago, IL 60601-5902 - Phone
- (708) 653-0318
- NPI assigned
- Jul 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sara Marie Marrs O'Donnell
- Title
- LCPC
- Phone
- (815) 922-5803
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
205 N Michigan Ave Ste 810
Chicago, IL 60601-5902
Mailing address
1504 Tiffany CT
Lowell, IN 46356-1968
Phone (815) 922-5803
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Chicago, IL
- NPI 1780125443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658793600000",
"number": "1851027494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 TIFFANY CT",
"city": "LOWELL",
"state": "IN",
"postal_code": "463561968",
"telephone_number": "815-922-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N MICHIGAN AVE STE 810",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015902",
"telephone_number": "708-653-0318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROW CONNECTED COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "MARRS O'DONNELL",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "LCPC",
"authorized_official_telephone_number": "815-922-5803",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral 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 Jul 26, 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.