L.E.a.D.O.F.F. Counseling and Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

L.E.A.D.O.F.F. COUNSELING AND CONSULTING, LLC

Practice address

10540 S Western Ave Ste 103
Chicago, IL 60643-2541

Phone

(312) 569-0614

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Chanel A. Gray, LCPC

Title

Owner

Phone

(708) 529-9544

Specialties & licenses 3

Addresses

Practitioners 1

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

• Zellessia S Ejalonibu, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1285282657
  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1992353213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 S WESTERN AVE STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432541",
            "telephone_number": "312-569-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.E.A.D.O.F.F. COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-529-9544",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.