RIVER NORTH COUNSELING GROUP LLC
NPI 1124465778
Psychologist - Clinical in Chicago, IL

Q: What is River North Counseling Group LLC's NPI number?

The NPI number for River North Counseling Group LLC is 1124465778. It was assigned to this organization in the NPPES registry on May 22, 2013.

Q: What is River North Counseling Group LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 22, 2013

405 N WABASH AVE UNIT 3209, CHICAGO, IL 60611(312) 467-0000 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About River North Counseling Group Llc NPPES

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

RIVER NORTH COUNSELING GROUP LLC (NPI 1124465778) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since May 2013. The organization lists Matthew Winstanley, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1124465778

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameRIVER NORTH COUNSELING GROUP LLC

Location Address405 N WABASH AVE UNIT 3209Chicago, IL 60611-5675

Mailing Address405 N Wabash Ave Unit 3209Chicago, IL 60611-5675 · (312) 467-0000 · Fax (312) 467-0000

Phone(312) 467-0000

Organization SubpartNo

Authorized OfficialMatthew WinstanleyOwner/manager · (312) 467-0000

Enumeration DateMay 22, 2013

Last NPPES UpdateJuly 22, 2024

NPPES CertifiedJuly 22, 2024

✔ NPI 1124465778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

405 N WABASH AVE UNIT 3209, Chicago, IL 60611

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

River North Counseling Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to River North Counseling Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Pumphrey, PSY.D.

Clinical Psychologist

NPI 1730893306

405 N WABASH AVE UNIT 3209
Chicago, IL 60611

(312) 467-0000

✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 River North Counseling Group LLC's NPI number?

The NPI number for River North Counseling Group LLC is 1124465778. It was assigned to this organization in the NPPES registry on May 22, 2013.

Where is River North Counseling Group LLC located?

River North Counseling Group LLC is located at 405 N Wabash Ave Unit 3209, Chicago, IL 60611. The listed phone number is (312) 467-0000.

What is River North Counseling Group LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is River North Counseling Group LLC enrolled in Medicare?

Yes. River North Counseling Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River North Counseling Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to River North Counseling Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for River North Counseling Group LLC was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.