1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Community Behavioral Health
  6. NPI Profile

BLACK TIE THERAPY
NPI 1073156196
Community/Behavioral Health in Chicago, IL

Active since October 21, 2019
2232 N WAYNE AVE APT 1F, CHICAGO, IL 60614(773) 217-8426 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2020, Oct 21, 2019 (2 updates tracked since 2019).

About Black Tie Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK TIE THERAPY (NPI 1073156196) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since October 2019. The organization lists Myron Nelson, President, as its authorized official.

NPPES Registry Identity

NPI1073156196
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLACK TIE THERAPY
Location Address2232 N WAYNE AVE APT 1FChicago, IL 60614-8937
Mailing Address2232 N Wayne Ave Apt 1fChicago, IL 60614-8937
Phone(773) 217-8426
Organization SubpartNo
Authorized OfficialMyron NelsonPresident · (216) 832-1907
Enumeration DateOctober 21, 2019
Last NPPES UpdateSeptember 4, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2020
✔ NPI 1073156196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2232 N WAYNE AVE APT 1F, Chicago, IL 60614
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLOW & BIRCH LLC
Marriage & Family Therapist
2232 N WAYNE AVE APT 1F
CHICAGO, IL 60614
Cook County (312) 646-0395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Tie Therapy's NPI number?

The NPI number for Black Tie Therapy is 1073156196. It was assigned to this organization in the NPPES registry on October 21, 2019.

Where is Black Tie Therapy located?

Black Tie Therapy is located at 2232 N Wayne Ave Apt 1F, Chicago, IL 60614. The listed phone number is (773) 217-8426.

What is Black Tie Therapy's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Black Tie Therapy was last updated on September 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.