Organization Active NPI

Reaching My Destination Counseling Services PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1972167930
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REACHING MY DESTINATION COUNSELING SERVICES PLLC
Practice address
10540 S Western Ave Ste 403
Chicago, IL 60643-2529
Phone
(773) 669-4743
Fax
(773) 634-7994
NPI assigned
Apr 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Mrs. Alishia Mercherson, MANPI 1578089827
Title
LCPC
Phone
(773) 669-4743

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10540 S Western Ave Ste 403
Chicago, IL 60643-2529

Mailing address

730 E 163Rd PL
South Holland, IL 60473-2305
Phone (773) 425-4355

National Provider Directory

National Provider Directory

Locations

10540 S Western Ave
Ste 403
Chicago, IL 60643
Phone (773) 669-4743

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1972167930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 E 163RD PL",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732305",
            "telephone_number": "773-425-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432529",
            "telephone_number": "773-669-4743",
            "fax_number": "773-634-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING MY DESTINATION COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "MERCHERSON",
        "authorized_official_first_name": "ALISHIA",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "773-669-4743",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "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 Apr 25, 2019; 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.