Ticiyotl Counseling Services, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TICIYOTL COUNSELING SERVICES, PC

Practice address

3328 W. Palmer Street, Chicago, Il
Chicago, IL 60647

Phone

(347) 288-1354

NPI assigned

Apr 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Vanessa Cisneros, PSYDNPI 1205442381

Title

Owner

Phone

(773) 280-5571

Specialties & licenses 1

Addresses

Other names 1

• Ticiyotl Counseling Services Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Cisneros, CLINICAL PSYCHOLOGIS

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1205442381
  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1891483624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 W PALMER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472733",
            "telephone_number": "347-288-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 W. PALMER STREET, CHICAGO, IL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "347-288-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICIYOTL COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "CISNEROS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-280-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ticiyotl Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charu Tibrewal, MD
• Anjan Tibrewala, M.D.
• Lawrence Clinton Tice, LCSW
• Uta J Tichawa, RN, APN-BC, ANP
• Kathleen Ticho, LCSW
• Pamela Louise Tickel, DC
• Mary E Ticknor, LCSW, LICSW
• Tidal Nutrition and Recovery, PLLC
• Tides Counseling Chicago, PLLC
• Tides Mental Health of Il, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.