NPIMap

Organization Active NPI

Urban Wellness, LTD.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1942565353
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
URBAN WELLNESS, LTD.
Practice address
6601 N Avondale Ave Ste 101
Chicago, IL 60631-1567
Phone
(773) 774-4444
Fax
(773) 774-4447
NPI assigned
Jul 11, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Maureen Werrbach
Title
Owner
Phone
(773) 774-4444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

6601 N Avondale Ave Ste 101
Chicago, IL 60631-1567

Mailing address

6601 N Avondale Ave
101
Chicago, IL 60631-1572
Phone (773) 774-4444

Other practice location 1

4055 W Peterson Ave Ste 202
Chicago, IL 60646-6183
Phone (773) 774-4444

National Provider Directory

National Provider Directory

Locations

4055 W Peterson Ave
Ste 202
Chicago, IL 60646
Phone (773) 492-5981

6321 N Avondale Ave
Ste 204
Chicago, IL 60631
Phone (773) 739-2296

6601 N Avondale Ave
Ste 101
Chicago, IL 60631
Phone 773774444422

7227 Madison St
Forest Park, IL 60130
Phone (308) 340-6061

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1942565353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE",
            "address_2": "101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311572",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N AVONDALE AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311567",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 W Peterson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606466183",
            "country_code": "US",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URBAN WELLNESS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WERRBACH",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-774-4444"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 17, 2018; 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.