Organization Active NPI

Build Quality Life

  • Counseling Psychologist
  • Chicago, IL
National Provider Identifier
1891502555
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
BUILD QUALITY LIFE
Practice address
360 E South Water St # 1681
Chicago, IL 60601-4028
Phone
(312) 447-9906
NPI assigned
Dec 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Carson D James, LPCPNPI 1124860341
Title
Owner
Phone
(312) 447-9906

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
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

360 E South Water St # 1681
Chicago, IL 60601-4028

Mailing address

360 E South Water St # 1681
Chicago, IL 60601-4028
Phone (312) 447-9906

Other practice location 1

550 University Blvd
Indianapolis, IN 46202-5149
Phone (312) 447-9906

Other names 1

  • Build Quality life Family Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

360 E South Water St
#1681
Chicago, IL 60601
Phone (312) 447-9906

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": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1891502555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E SOUTH WATER ST # 1681",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014028",
            "telephone_number": "312-447-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E SOUTH WATER ST # 1681",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014028",
            "telephone_number": "312-447-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "312-447-9906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUILD QUALITY LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CARSON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-447-9906",
        "authorized_official_credential": "LPCP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Build Quality life Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 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.