Active NPI
Soul Choice Counseling, LTD
- Clinical Social Worker
- Evanston, IL
National Provider Identifier
1922267475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149006701
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL2251 | Other | IL | MEDICARE PTAN FOR CORPORATION |
| IL2251001 | Other | IL | MEDICARE PTAN FOR INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
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.