TAYLOR GLEN SHIGERU KEOKI LEISHER
NPI 1184267759
Counselor - Mental Health in Chicago, IL

Active since October 25, 2019
30 N MICHIGAN AVE STE 1609, CHICAGO, IL 60602(773) 683-3555 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 2, 2023, May 28, 2020, Oct 25, 2019 (3 updates tracked since 2019).

About Taylor Glen Shigeru Keoki Leisher NPPES

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

TAYLOR GLEN SHIGERU KEOKI LEISHER (NPI 1184267759) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178015953) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1184267759
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTAYLOR GLEN SHIGERU KEOKI LEISHER
Location Address30 N MICHIGAN AVE STE 1609Chicago, IL 60602-3652
Mailing Address862 N Marshfield Ave Apt 3fChicago, IL 60622-5137 · (847) 208-0007
Sole ProprietorYes
Enumeration DateOctober 25, 2019
Last NPPES UpdateFebruary 2, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
NPI 1184267759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178015953
30 N MICHIGAN AVE STE 1609, Chicago, IL 60602

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

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
30 N MICHIGAN AVE STE 1609
CHICAGO, IL 60602

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 Taylor Leisher's NPI number?

The NPI number for Taylor Leisher is 1184267759. It was assigned to this individual provider in the NPPES registry on October 25, 2019.

Where is Taylor Leisher located?

Taylor Leisher practices at 30 N Michigan Ave Ste 1609, Chicago, IL 60602. The listed phone number is (773) 683-3555.

What is Taylor Leisher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Taylor Leisher was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.