MEREDITH SEVERSEN LCPC
NPI 1083508592
Counselor - Professional in Chicago, IL

Active since June 07, 2025
4714 W IRVING PARK RD APT 313, CHICAGO, IL 60641(206) 591-8431 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meredith Seversen Lcpc NPPES

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

MEREDITH SEVERSEN LCPC (NPI 1083508592) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178018875) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1083508592
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMEREDITH SEVERSENCredential: LCPC
Location Address4714 W IRVING PARK RD APT 313Chicago, IL 60641-1215
Mailing Address4714 W Irving Park Rd Apt 313Chicago, IL 60641-1215 · (206) 591-8431
Sole ProprietorYes
Enumeration DateJune 7, 2025
NPPES CertifiedJune 7, 2025
NPI 1083508592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178018875
4714 W IRVING PARK RD APT 313, Chicago, IL 60641

Other Names 1

Professional Name (2)Mimi Seversen Lcpc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Meredith Seversen's NPI number?

The NPI number for Meredith Seversen is 1083508592. It was assigned to this individual provider in the NPPES registry on June 7, 2025. The provider is also known as Mimi Seversen Lcpc.

Where is Meredith Seversen located?

Meredith Seversen practices at 4714 W Irving Park Rd Apt 313, Chicago, IL 60641. The listed phone number is (206) 591-8431.

What is Meredith Seversen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Meredith Seversen was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.