PARK BENCH PSYCHOTHERAPY, INC.
Counselor

Address: 155 N Michigan Ave Ste 500f, Chicago, IL 60601-7511

PARK BENCH PSYCHOTHERAPY, INC. (NPI# 1700441458) 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) 1700441458
Entity Type Organization
Organization Name PARK BENCH PSYCHOTHERAPY, INC.
Practice Address 155 N Michigan Ave Ste 500f
Chicago
IL 60601-7511
Practice Telephone 6306409580
Mailing Address 1647 N Artesian Ave Unit 1
Chicago
IL 60647-5308
Mailing Telephone 6306409580
Enumeration Date 2019-05-08
Last Update Date 2019-05-08
Authorized Official Telephone 6306409580
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor 193400000X SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 155 N MICHIGAN AVE STE 500F
City CHICAGO
State IL
Zip Code 60601-7511

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295875136 Julie Marie Matija Counselor - Professional 155 N Michigan Ave Ste 325-326, Chicago, IL 60601-7511 2007-02-08
1548837941 Marilyn Rodriguez Social Worker 155 N Michigan Ave, Chicago, IL 60601-7511 2021-06-05
1992395859 Emily Berkman Counselor - Mental Health 155 N Michigan Ave # 225, Chicago, IL 60601-7511 2021-01-24
1225689201 Essential Therapy Chicago, Pllc Counselor - Professional 155 N Michigan Ave Ste 500b, Chicago, IL 60601-7511 2019-09-22
1033253422 Roneen Blank Psychiatry & Neurology - Psychiatry 155 N Michigan Ave, 630, Chicago, IL 60601-7511 2007-02-18
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1205396785 Nicole Rothman Lcsw Pllc Social Worker - Clinical 155 N Michigan Ave Ste 500a, Chicago, IL 60601-7511 2019-03-21
1033706791 Jazline Villar Social Worker - Clinical 155 N Michigan Ave Ste 500c, Chicago, IL 60601-7511 2020-12-29
1720695398 Andrea Bardac Social Worker 155 N Michigan Ave, Chicago, IL 60601-7511 2020-09-28
1508919556 Rosemarie Seder Psychologist - Clinical 155 N Michigan Ave Ste 500e, Chicago, IL 60601-7511 2007-01-20
Find all in zip 60601-7511

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1760637078 Elizabeth Erin Wasserman Behavioral Analyst 180 North Michigan Ave., Suite 2210, Chicago, IL 60601 2008-12-01
1760621163 Nivaldo Montes Jr. Dentist 333 N. Michigan Ave., Suite 2900, Chicago, IL 60601 2009-02-10
1609147628 Kathleen M Walsh Social Worker - Clinical 155 N Michigan Av, #523, Chicago, IL 60601 2012-01-23
1326224742 Theophilus E Green Psychologist - Clinical 203 North Lasalle, Ste 2100, Chicago, IL 60601 2008-01-16
1912431560 Shannon Keleher Social Worker 155 N Michigan Ave Ste 209, Chicago, IL 60601 2017-04-19
1881099265 Kristen Taruc Nurse Practitioner 200 N Lasalle Ste 1550, Chicago, IL 60601 2014-10-28
1659828630 Kevin Mcguyer Physical Therapist 151 N Michgan Ave, Chicago, IL 60601 2016-09-07
1811527013 Chicago Center for Advanced Dentistry Dentist 222 N Lasalle St 230b, Chicago, IL 60601 2020-01-16
1629494042 Farah Huq Counselor - Mental Health 180 N Michigan Ave, Ste 410, Chicago, IL 60601 2014-03-10
1003160615 Heather Marie Partipilo Marriage & Family Therapist 180 North Lasalle St Suite 1822, Chicago, IL 60601 2012-11-05
Find all in zip 60601

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

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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.