Ravenswood Counseling Center Co

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RAVENSWOOD COUNSELING CENTER CO

Practice address

4611 N Ravenswood Ave Ste 105
Chicago, IL 60640-7569

Phone

(773) 321-6410

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Megan K BrennanNPI 1902113566

Title

President

Phone

(773) 895-2125

Specialties & licenses 1

Addresses

Practitioners 3

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

• Megan Kelly Brennan, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1902113566
  NPD (past) Authorized official
• Claudio G Altman, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1396035200
  NPD
• Abbie Lynn Cronin, M.A., L.C.P.C.

  • Professional Counselor
  • Chicago, IL
  • NPI 1831245828
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1992378616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 N ROCKWELL ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N RAVENSWOOD AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407569",
            "telephone_number": "773-321-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENSWOOD COUNSELING CENTER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-895-2125"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunanda Ravella, M.D.
• Jeremy M. Raven, M.A.
• Ravenco Inc
• Paul Anthony Ravenna, M.D.
• Ravenswood Counseling Center
• Ravenswood Dental Group
• Ravenswood Dental PLLC
• Ravenswood Family Practice
• Ravenswood Health and Wellness Center, S.C.
• Ravenswood Health Center, P.C.

• 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 Jul 20, 2021; 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.