Organization Active NPI

Soul Choice Counseling, LTD

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1922267475
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006701 Issued in IL
Legal business name
SOUL CHOICE COUNSELING, LTD
Practice address
831 Forest Ave Apt 3W
Evanston, IL 60202-2421
Phone
(773) 332-5471
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Ms. Alyse A. Rynor, L.C.S.W.
Title
Owner
Phone
(847) 328-8477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149006701 IL Primary

Addresses

Primary practice location

831 Forest Ave Apt 3W
Evanston, IL 60202-2421

Mailing address

831 Forest Ave
#3W
Evanston, IL 60202-2486
Phone (847) 328-8477

Other identifiers 2

IdentifierTypeStateIssuer
IL2251OtherILMEDICARE PTAN FOR CORPORATION
IL2251001OtherILMEDICARE PTAN FOR INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

1740 Ridge Ave
Ste 212
Evanston, IL 60201
Phone (847) 840-0884

708 Main St
Evanston, IL 60202
Phone (847) 869-7740

708 Main St
Fl 2
Evanston, IL 60202

1740 Ridge Ave
Ste 206
Evanston, IL 60201
Phone (847) 840-0884

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1922267475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 FOREST AVE",
            "address_2": "#3W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022486",
            "telephone_number": "847-328-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 FOREST AVE APT 3W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022421",
            "telephone_number": "773-332-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CHOICE COUNSELING, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "RYNOR",
        "authorized_official_first_name": "ALYSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-328-8477",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR CORPORATION",
            "identifier": "IL2251",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR INDIVIDUAL",
            "identifier": "IL2251001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.