Our House Therapy Collective a Healing Community

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

OUR HOUSE THERAPY COLLECTIVE A HEALING COMMUNITY

Practice address

2858 W Diversey Ave
Chicago, IL 60647-1871

Phone

(708) 941-1761

NPI assigned

Jul 20, 2021

Last updated

May 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie R McConville, PHDNPI 1912407354

Title

Treasurer

Phone

(919) 360-5177

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Our House Therapy Collective a Healing Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Our House Therapy Collective a Healing Community

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1447935580
  NPD tax ID

Practitioners 4

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.

• Stephanie McConville, PHD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1912407354
  Medicare reassignment Care Compare group NPD Authorized official
• Maeghan Louise Anderson, LCSW

  • Social Worker
  • Chicago, IL
  • NPI 1679973663
  Medicare reassignment Care Compare group NPD
• Jasmin Amaranta Sanchez

  • Clinical Social Worker
  • Skokie, IL
  • NPI 1720895634
  Medicare reassignment NPD
• Hannah Aron, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1518494640
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1982277836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471871",
            "telephone_number": "708-941-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471871",
            "telephone_number": "708-941-1761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3052 W George St Apt 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606187624",
            "country_code": "US",
            "telephone_number": "919-360-5177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUR HOUSE THERAPY COLLECTIVE A HEALING COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MCCONVILLE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "919-360-5177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ould Ammar
• Neila Ould-Ali, LMFT
• Our Community Home Care
• Our Dailey Bread, PLLC
• Our House Therapy Collective a Healing Community
• Our Lady of the Resurrection Medical Center (Addison Emergency Physicians)
• Our Physical Therapy LLC
• Our Place Safe Space, LLC
• Rachel Kristi Ourada, LCSW
• Abrar Ouri, APRN, CNP

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.