Bespoke Care PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BESPOKE CARE PLLC

Doing business as

Ellie Mental Health - Lincolnwood, IL

Practice address

7366 N Lincoln Ave Ste 205-206
Lincolnwood, IL 60712-1708

Phone

(773) 682-4903

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Pooja Agarwal, MDNPI 1407411689

Title

President

Phone

(773) 682-4903

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health - Lincolnwood, IL Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Pooja Agarwal

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1407411689

  Single Specialty

  Medicare reassignment NPD Authorized official
• Jose Miguel Viruet, LCPC, CRADC

  • Professional Counselor
  • Chicago, IL
  • NPI 1578816294
  Medicare reassignment NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1902616691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 W FARRAGUT AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253308",
            "telephone_number": "773-682-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7366 N LINCOLN AVE STE 205-206",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121708",
            "telephone_number": "773-682-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "POOJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-682-4903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health - Lincolnwood, IL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Asma Biradar, PTA
• Emily Blim

• Mental Health Counselor in Lincolnwood, IL
• Providers in Lincolnwood, 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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.