Organization Active NPI

Chace Wall Psychotherapy, LLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1922927680
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHACE WALL PSYCHOTHERAPY, LLC
Practice address
3322 N Ashland Ave
Chicago, IL 60657-0195
Phone
(312) 569-0556
NPI assigned
Jul 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Chace Wall, LCPC
Title
President
Phone
(312) 569-0556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3322 N Ashland Ave
Chicago, IL 60657-0195

Mailing address

3322 N Ashland Ave
Chicago, IL 60657-0195
Phone (312) 569-0556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1922927680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570195",
            "telephone_number": "312-569-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606570195",
            "telephone_number": "312-569-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHACE WALL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CHACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-569-0556",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 2026; 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.