Organization Active NPI

Synergy Healing Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1891383386
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SYNERGY HEALING SERVICES, LLC
Practice address
332 S. Michigan Avenue #5847
Suite 121
Chicago, IL 60604-4302
Phone
(708) 801-8735
Fax
(855) 703-0001
NPI assigned
Jan 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. Jenae D Thompson, PHD, LCPC, LPCNPI 1518341379
Title
Owner, Practitioner
Phone
(708) 801-8735

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

332 S. Michigan Avenue #5847
Suite 121
Chicago, IL 60604-4302

Mailing address

332 S. Michigan Avenue #5847
Suite 121
Chicago, IL 60604-4302
Phone (708) 801-8735

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://counsol.com/site/access/login/ Health Information Exchange (HIE)

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": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1891383386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S. MICHIGAN AVENUE #5847",
            "address_2": "SUITE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044302",
            "telephone_number": "708-801-8735",
            "fax_number": "855-703-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S. MICHIGAN AVENUE #5847",
            "address_2": "SUITE 121",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044302",
            "telephone_number": "708-801-8735",
            "fax_number": "855-703-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY HEALING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENAE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, PRACTITIONER",
        "authorized_official_telephone_number": "708-801-8735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://counsol.com/site/access/login/",
            "affiliation": "N",
            "endpointDescription": "CounSol EHR website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "332 S. Michigan Avenue #5847",
            "address_2": "Suite 121",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606044302",
            "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 Jan 4, 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.