Chicago Mindful Psychotherapy, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011529 Issued in IL

Legal business name

CHICAGO MINDFUL PSYCHOTHERAPY, INC.

Practice address

4737 N Clark St
Chicago, IL 60640-7758

Phone

(773) 368-9619

NPI assigned

Jan 3, 2012

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Georgia Jones, LCSWNPI 1356365209

Title

Owner

Phone

(773) 368-9619

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Georgia Lorraine Jones

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1356365209
  Authorized official Same address or phone
• Melissa Mooney, LPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1073374336
  NPD
• Jonathan Smith, PSYD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1124403100
  NPD

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1871863282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407758",
            "telephone_number": "773-368-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407758",
            "telephone_number": "773-368-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MINDFUL PSYCHOTHERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-368-9619",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Mental and Life Wellbeing Institute
• Chicago Mental and Life Wellness Institute
• Chicago Mental and Lifewellness Institute
• Chicago Midway Youth Center
• Chicago Mind Health Inc
• Chicago Modern Therapy PLLC
• Chicago Monticello Medical Ctr (Michael W Early MD)
• Chicago Musculoskeletal Institute, S.C.
• Chicago Myo Therapy Professional Limited Liability Company (Chicago Myo)
• Chicago Nasal and Sinus Center S C

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.