Organization Active NPI

Hungry Souls Therapy, LLC.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1851861603
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HUNGRY SOULS THERAPY, LLC.
Practice address
2650 W Montrose Ave Ste 307
Chicago, IL 60618-1561
Phone
(312) 479-0347
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Mikki Guerra, LCSW, CADCNPI 1730552894
Title
Owner
Phone
(312) 479-0347

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2650 W Montrose Ave Ste 307
Chicago, IL 60618-1561

Mailing address

2650 W Montrose Ave Ste 307
Chicago, IL 60618-1561

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1851861603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 W MONTROSE AVE STE 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 W MONTROSE AVE STE 307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181561",
            "telephone_number": "312-479-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNGRY SOULS THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-479-0347",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 Dec 4, 2018; 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.