CLEARWATER COUNSELING CHICAGO NPI 1962932988

NPI Information

  • NPI: 1962932988
  • Provider Name: CLEARWATER COUNSELING CHICAGO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1165 N CLARK ST STE 305
    CHICAGO, IL
    ZIP 60610
  • Phone: (312) 880-9913

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NPI Details

CLEARWATER COUNSELING CHICAGO is a mental health counselor in Chicago, IL. CLEARWATER COUNSELING CHICAGO NPI is 1962932988. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1165 N CLARK ST STE 305
CHICAGO, IL
ZIP 60610-862
Phone: (312) 880-9913
Fax: (877) 787-9891

The provider's authorized official is Alicia Rosenberg .
The authorized official title is Owner and has the following contact phone number (407) 451-4619.

The enumeration date for this NPI number is 6/13/2017 and was last updated on 4/10/2025.

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
2101YM0800XCounselorMental HealthYes
3104100000XSocial WorkerNo
41041C0700XSocial WorkerClinicalNo
5363LF0000XNurse PractitionerFamilyNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
7390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 11/21/2025

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