MANDALA COUNSELING & PSYCHOLOGICAL SERVICES, PLLC
Counselor

Address: 5212 N. Clark Street, Suite 222, Chicago, IL 60640-1223

MANDALA COUNSELING & PSYCHOLOGICAL SERVICES, PLLC (NPI# 1538724364) 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) 1538724364
Entity Type Organization
Organization Name MANDALA COUNSELING & PSYCHOLOGICAL SERVICES, PLLC
Practice Address 5212 N. Clark Street
Suite 222
Chicago
IL 60640-1223
Practice Telephone 7734547202
Practice Fax Number 7734655041
Mailing Address 5212 N. Clark Street
Suite 222
Chicago
IL 60640-1223
Mailing Telephone 7734547202
Mailing Fax Number 7734655041
Enumeration Date 2019-05-07
Last Update Date 2019-05-07
Authorized Official Telephone 7734547202
Authorized Official Credential PH.D.
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
Y 103T00000X Psychologist 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 5212 N. CLARK STREET
SUITE 222
City CHICAGO
State IL
Zip Code 60640-1223

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689962151 Anthony P. Oltean Social Worker - Clinical 5412 N Clark St, Chicago, IL 60640-1223 2011-07-18
1922623362 Self Bound Counseling LLC Counselor - Professional 5412 N Clark St, Chicago, IL 60640-1223 2020-06-11
1487980470 Mary Ellen Boyte Naprapath 5412 N Clark St, Chicago, IL 60640-1223 2009-10-26
1881146314 Rachel Baker Counselor - Professional 5412 N Clark St, Chicago, IL 60640-1223 2016-11-01
1891331914 Positive Regard Therapy Inc Counselor - Mental Health 5412 N Clark St Ste 227, Chicago, IL 60640-1223 2019-11-24
1598095499 Diana L Campbell Social Worker - Clinical 5412 N Clark St, Chicago, IL 60640-1223 2009-12-28
1225424260 Thomas Herman Social Worker 5412 N Clark St Ste 226, Chicago, IL 60640-1223 2015-04-07
1770097396 Bert Fox Counselor - Mental Health 5412 N Clark St Ste 227, Chicago, IL 60640-1223 2017-11-17
1306280516 Robert Thomas Baker IIi Psychologist - Clinical 5412 N Clark St, #210, Chicago, IL 60640-1223 2013-04-18
1609914654 S. Anne Redmond Counselor - Professional 5412 N Clark St, South Suite, Chicago, IL 60640-1223 2007-02-02
Find all in zip 60640-1223

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1386121283 Aea Optical Ventures, LLC · Pearle Vision Clinic/Center 4814 N Clark St, Chicago, IL 60640 2018-07-24
1831767938 Ravenswood Slf, LLC Assisted Living Facility 1922 W. Sunnyside Ave, Chicago, IL 60640 2021-06-15
1245771732 Federico Dulalas II Physical Therapist 1433 West Foster Ave, Chicago, IL 60640 2017-03-16
1932622206 Jasleen Kaur Brar Internal Medicine 4646 N. Marine Dr., Chicago, IL 60640 2017-07-19
1174983928 Nancy Chairez Licensed Practical Nurse 5517 N Kenmore Ave., Chicago, IL 60640 2016-03-07
1477061620 Yesenia Vargas Nurse Practitioner - Obstetrics & Gynecology 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1184144081 Ellie Navidson · Graham Shaw Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
1962932558 Jennifer Stridh Marriage & Family Therapist 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 2017-06-15
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
1548871916 Borici Counseling LLC Counselor - Mental Health 4731 N Paulina St, Chicago, IL 60640 2020-08-11
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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
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City CHICAGO
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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.