Organization Active NPI

Connect Psychotherapy, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1932950177
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONNECT PSYCHOTHERAPY, PLLC
Practice address
5341 S Maryland Ave
Chicago, IL 60615-4903
Phone
(303) 552-7696
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Mary Emma Cook, LCSWNPI 1356016679
Title
Manager
Phone
(708) 803-2682

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5341 S Maryland Ave
Chicago, IL 60615-4903

Mailing address

680 N Lake Shore Dr Ste 110-1496
Chicago, IL 60611-4546
Phone (708) 803-2682

National Provider Directory

National Provider Directory

Locations

230 E Ohio St
Ste 4101496
Chicago, IL 60611

680 N Lake Shore Dr
Ste 1101496
Chicago, IL 60611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1932950177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 110-1496",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "708-803-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154903",
            "telephone_number": "303-552-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "EMMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-803-2682",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "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 3, 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.