The Chicago Center for Integrative Mental Health LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006608 Issued in IL

Legal business name

THE CHICAGO CENTER FOR INTEGRATIVE MENTAL HEALTH LLC

Practice address

1604 Chicago Ave Ste 1
Evanston, IL 60201-6017

Phone

(847) 975-3416

NPI assigned

Mar 14, 2015

Organization subpart

No

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

Authorized official

Name

Curtis Kearney, LCPCNPI 1578763595

Title

Director

Phone

(847) 975-3416

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Curtis Kearney, MA LCPC

  • Professional Counselor
  • Evanston, IL
  • NPI 1578763595
  NPD (past) Authorized official

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426291200000",
    "number": "1992198972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 CHICAGO AVE STE 1",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016017",
            "telephone_number": "847-975-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 CHICAGO AVE STE 1",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016017",
            "telephone_number": "847-975-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHICAGO CENTER FOR INTEGRATIVE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-975-3416",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.