UNFETTERED PSYCHOTHERAPY & CONSULTING LLC
NPI 1134978679
Social Worker - Clinical in Chicago, IL

Active since May 16, 2024
2650 W MONTROSE AVE STE 302, CHICAGO, IL 60618(773) 450-6363 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Unfettered Psychotherapy & Consulting Llc NPPES

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

UNFETTERED PSYCHOTHERAPY & CONSULTING LLC (NPI 1134978679) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since May 2024. The organization lists Lisa Couser, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1134978679
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameUNFETTERED PSYCHOTHERAPY & CONSULTING LLC
Location Address2650 W MONTROSE AVE STE 302Chicago, IL 60618-1674
Mailing Address6123 N Wolcott AveChicago, IL 60660-2323
Organization SubpartNo
Authorized OfficialLisa CouserLicensed Clinical Social Worker · (773) 450-6363
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1134978679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2650 W MONTROSE AVE STE 302, Chicago, IL 60618

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)

Unfettered Psychotherapy & Consulting 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 Unfettered Psychotherapy & Consulting LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1043482144
6123 N WOLCOTT AVE
Chicago, IL 60660
(773) 450-6363
✔ PECOS✔ Accepts Medicare2.4 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 Unfettered Psychotherapy & Consulting LLC's NPI number?

The NPI number for Unfettered Psychotherapy & Consulting LLC is 1134978679. It was assigned to this organization in the NPPES registry on May 16, 2024.

Where is Unfettered Psychotherapy & Consulting LLC located?

Unfettered Psychotherapy & Consulting LLC is located at 2650 W Montrose Ave Ste 302, Chicago, IL 60618. The listed phone number is (773) 450-6363.

What is Unfettered Psychotherapy & Consulting LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Unfettered Psychotherapy & Consulting LLC enrolled in Medicare?

Yes. Unfettered Psychotherapy & Consulting LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Unfettered Psychotherapy & Consulting LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Unfettered Psychotherapy & Consulting 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 Unfettered Psychotherapy & Consulting LLC was last updated on May 16, 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.