Graceful Growth Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRACEFUL GROWTH COUNSELING SERVICES

Practice address

171 N Aberdeen St Ste 400
Chicago, IL 60607-1670

Phone

(773) 459-1237

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany Marie Stevens, LCPC

Title

Clinical Director

Phone

(773) 459-1237

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1891355376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N ABERDEEN ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071670",
            "telephone_number": "773-459-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N ABERDEEN ST STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071670",
            "telephone_number": "773-459-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015311",
            "country_code": "US",
            "telephone_number": "773-459-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACEFUL GROWTH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "773-459-1237",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114457622",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tyler Grace, DDS
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• Graceway Medical Center LTD
• Renee Sheree Gracey, FNP
• Gina Graci, PHD

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.