Organization Active NPI

Psychbreak PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1851996532
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PSYCHBREAK PLLC
Practice address
101 W Grand Ave
Chicago, IL 60654-7172
Phone
(312) 659-0020
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2026

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

Authorized official

Name
Elizabeth SelphNPI 1720724347
Title
Owner
Phone
(415) 990-3149

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

101 W Grand Ave
Chicago, IL 60654-7172

Mailing address

101 W Grand Ave Ste 200
Chicago, IL 60654-7130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eselph@psychbreak.com Direct

National Provider Directory

National Provider Directory

Locations

101 W Grand Ave
Ste 200
Chicago, IL 60654
Phone (630) 866-3836

101 W Grand Ave
Chicago, IL 60654

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": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786233600000",
    "number": "1851996532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W GRAND AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547172",
            "telephone_number": "312-659-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHBREAK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2026-08-09",
        "certification_date": "2026-08-09",
        "status": "A",
        "authorized_official_last_name": "SELPH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-990-3149"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eselph@psychbreak.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 W Grand Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606547172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 9, 2026; 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.