THREE RAVEN COUNSELING LLC NPI 1255966784

NPI Information

  • NPI: 1255966784
  • Provider Name: THREE RAVEN COUNSELING, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 5215 N RAVENSWOOD AVE STE 312
    CHICAGO, IL
    ZIP 60640
  • Phone: (872) 239-5253

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NPI Details

THREE RAVEN COUNSELING, LLC is a professional counselor in Chicago, IL. THREE RAVEN COUNSELING, LLC NPI is 1255966784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5215 N RAVENSWOOD AVE STE 312
CHICAGO, IL
ZIP 60640-670
Phone: (872) 239-5253

The provider's authorized official is Lauren Louise Breit .
The authorized official title is Counselor/owner and has the following contact phone number (872) 239-5253.

The enumeration date for this NPI number is 3/5/2020 and was last updated on 3/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4251S00000XCommunity/Behavioral HealthNo
5101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114010115OTHERILLINOISCAQH
21841738424MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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