THREE RAVEN COUNSELING, LLC
Counselor

Address: 5215 N Ravenswood Ave Ste 312, Chicago, IL 60640-1670

THREE RAVEN COUNSELING, LLC (NPI# 1255966784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255966784
Entity Type Organization
Organization Name THREE RAVEN COUNSELING, LLC
Practice Address 5215 N Ravenswood Ave Ste 312
Chicago
IL 60640-1670
Practice Telephone 8722395253
Mailing Address 4745 N Hermitage Ave Rear 2m
Chicago
IL 60640-4448
Mailing Telephone 8722395253
Certification Date 2020-03-05
Enumeration Date 2020-03-05
Last Update Date 2020-03-05
Authorized Official Telephone 8722395253
Authorized Official Credential MA, LCPC, CADC, NCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 251S00000X Community/Behavioral Health Agencies

Other Provider Identifiers

Identifier State Issuer Type Code
14010115 IL CAQH Other
1841738424 IL MEDICAID

Other Provider/Organization Names

Other Name Type Code
Lauren L. Breit Doing Business As Name

Office Location

Street Address 5215 N RAVENSWOOD AVE STE 312
City CHICAGO
State IL
Zip Code 60640-1670

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144606385 Serena Pesch Social Worker - Clinical 5215 N Ravenswood Ave, Ste 210, Chicago, IL 60640-1670 2015-08-10
1467003145 Leslie Frondorf Lcpc LLC Clinic/Center - Adult Mental Health 5215 N Ravenswood Ave Ste 214, Chicago, IL 60640-1670 2019-09-24
1114543147 Melissa Le Nicol · Melissa Lee Grein Acupuncturist 5215 N Ravenswood Ave Ste 105, Chicago, IL 60640-1670 2020-06-25
1336624634 Mandala Restorative Therapy Clinic/Center - Mental Health (Including Community Mental Health Center) 5215 N Ravenswood Ave Ste 214, Chicago, IL 60640-1670 2018-10-02
1750935268 Christopher Joseph Defabio Chiropractor 5215 N Ravenswood Ave Ste 105, Chicago, IL 60640-1670 2019-08-01

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1205366812 Maja Boshkovska Spaseski Internal Medicine 4646 N Marine Drive, Chicago, IL 60640 2017-06-15
1538615836 University of Illinois Hospital Chronic Disease Hospital 1463 W Winnemac Ave, Unit 2e, Chicago, IL 60640 2016-08-28
1750802849 Umer Mukhtar Internal Medicine 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 2017-06-29
1497208573 Mehmet Talha Kutlu Internal Medicine 4646 N Marine, Dr Weiss Memorial Hospital, Chciago, IL 60640 2016-07-26
1184144081 Ellie Navidson · Graham Shaw Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
1306319173 Gerardo Garcia Physician Assistant Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 2019-01-04
1548871916 Borici Counseling LLC Counselor - Mental Health 4731 N Paulina St, Chicago, IL 60640 2020-08-11
1962932558 Jennifer Stridh Marriage & Family Therapist 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 2017-06-15
1588196083 The Dental Mastrs of Ravenswood LLC · Albany Park Dental Dentist - General Practice 1945 W. Wilson, Ste # 5117, Chicago, IL 60640 2017-04-03
1023503885 Lauren Vassiliades Internal Medicine Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 2018-06-25
Find all in zip 60640

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.