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
US
Practice Telephone 6306409580
Mailing Address 1647 N Artesian Ave Unit 1
Chicago
IL 60647-5308
US
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
1912573494 Elizabeth Quinn Davis Counselor - Mental Health 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
1336817857 Christian Gomez Counselor - Mental Health 155 N Michigan Ave Ste 500c, Chicago, IL 60601-7511 2021-08-31
1508919556 Rosemarie Seder Psychologist - Clinical 155 N Michigan Ave Ste 500e, Chicago, IL 60601-7511 2007-01-20
1396233433 Carey Rand Social Worker - Clinical 155 N Michigan Ave Ste 610, Chicago, IL 60601-7511 2018-04-24
1649747189 Alexandra Mayer Social Worker 155 N Michigan Ave # 380, Chicago, IL 60601-7511 2018-11-01
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
1073258836 Astrid Josefina Gomez Social Worker 155 N Michigan Ave, Chicago, IL 60601-7511 2022-05-04
1437629888 Smiles On Michigan Dentist - General Practice 155 N Michigan Ave Ste 323, Chicago, IL 60601-7511 2018-11-28
Find all in zip 60601-7511

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1861948374 Stuart Schelkopf Dentist 222 N Lasalle St, Ste 230, Chicago, IL 60601 2016-08-26
1912431560 Shannon Keleher Social Worker 155 N Michigan Ave Ste 209, Chicago, IL 60601 2017-04-19
1427720234 Gloria Pamela Otieno · Gloria Pamela Achieng Obilo Nurse Practitioner - Primary Care 200 N Lasalle Street, 15550, Chicago, IL 60601 2021-09-30
1578154597 Verboso LLC Speech-Language Pathologist 203 N. Lasalle St., Suite 2100, Chicago, IL 60601 2021-02-02
1659861409 Alison Hirshorn LLC Community/Behavioral Health 155 N Michigan Ave Ste 603, Chicago, IL 60601 2018-05-17
1609147628 Kathleen M Walsh Social Worker - Clinical 155 N Michigan Av, #523, Chicago, IL 60601 2012-01-23
1629494042 Farah Huq Counselor - Mental Health 180 N Michigan Ave, Ste 410, Chicago, IL 60601 2014-03-10
1659828630 Kevin Mcguyer Physical Therapist 151 N Michgan Ave, Chicago, IL 60601 2016-09-07
1881099265 Kristen Taruc Nurse Practitioner 200 N Lasalle Ste 1550, Chicago, IL 60601 2014-10-28
1407150808 Robin L. Rundell Psychologist - Clinical 307 North Michigan Avenue, Suite 2016, Chicago, IL 60601 2010-12-29
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
1205571171 Jose Zavala Counselor 8407 S Constance Ave, Chicago, IL 60617-2218 2022-05-04
1386388031 Rise Counseling Pllc Counselor 332 S Michigan Ave, Suite 121 #5321, Chicago, IL 60604 2022-04-27
1558005967 Damiya Fields Counselor 1550 S Indiana Ave Ste 2ne, Chicago, IL 60605-2857 2022-04-21
1285376640 Nina Ortega Counselor 3050 W Marquette Rd, Chicago, IL 60629-2958 2022-04-07
1063153708 Sarah Ashley Greer Counselor 1720 S Michigan Ave Apt 3311, Chicago, IL 60616-4865 2022-04-05
1649920901 Brian Thompson Counselor 55 E Monroe St Ste 38109, Chicago, IL 60603-5713 2022-03-28
1841947827 A Beautiful Mind, Inc Counselor 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 2022-03-09
1891442083 Tashay Jenkins Counselor 7243 S Saint Lawrence Ave, Chicago, IL 60619-1707 2022-03-07
1275285017 Jane Tobin Balasz Counselor 913 W Wellington Ave, Chicago, IL 60657 2022-01-24
1770235020 Derek William Potts Counselor 226 W Ontario St, Chicago, IL 60654-3619 2022-01-18
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City CHICAGO
Zip Code 60601

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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.