Organization Active NPI

Soma & Ser Therapy PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1982527065
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOMA & SER THERAPY PLLC
Practice address
4525 N Ravenswood Ave Ste 201.5
Chicago, IL 60640-8038
Phone
(815) 735-8045
NPI assigned
Aug 4, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Claudia Isabella Lundgren-Clark, LCPC
Title
Psychotherapist
Phone
(815) 735-8045

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

4525 N Ravenswood Ave Ste 201.5
Chicago, IL 60640-8038

Mailing address

4525 N Ravenswood Ave Ste 201.5
Chicago, IL 60640-8038

National Provider Directory

National Provider Directory

Locations

4525 N Ravenswood Ave
Ste 2015
Chicago, IL 60640
Phone (815) 735-8045

NPI Registry JSON

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

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1982527065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 N RAVENSWOOD AVE STE 201.5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 N RAVENSWOOD AVE STE 201.5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408038",
            "telephone_number": "815-735-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA & SER THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN-CLARK",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "ISABELLA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "815-735-8045",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "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 Aug 4, 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.