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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MY ABUNDANT LIFE THERAPY
NPI 1184592875
Counselor - Mental Health in Berwyn, IL

Active since October 25, 2025
3534 CLARENCE AVE, BERWYN, IL 60402(312) 330-2561 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 28, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About My Abundant Life Therapy NPPES

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

MY ABUNDANT LIFE THERAPY (NPI 1184592875) is a healthcare organization registered as a mental health in Berwyn, Illinois and active in the NPI registry since October 2025. The organization maintains 6 additional practice locations and lists Alexander Bauman, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1184592875
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMY ABUNDANT LIFE THERAPY
Location Address3534 CLARENCE AVEBerwyn, IL 60402-3855
Mailing Address680 North Lake Shore Drive Suite 110 - 1993Chicago, IL 60611 · (312) 330-2561
Phone(312) 330-2561
Organization SubpartNo
Authorized OfficialAlexander BaumanCo-founder · (630) 426-9437
Enumeration DateOctober 25, 2025
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1184592875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
3534 CLARENCE AVE, Berwyn, IL 60402
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Secondary Practice Locations 6

Location 1#1216 78 Folly Road Ste B9Charleston, SC 29407 · Phone (630) 426-9437
Location 21905 N Sherman St Ste 2002158Denver, CO 80203-1140 · Phone (630) 426-9437
Location 33534 Clarence AvenueBerwyn, IL 60402 · Phone (630) 426-9437
Location 42001 N Doctor M.L.K. Jr Dr #524Milwaukee, WI 53212 · Phone (630) 426-9437
Location 5200 N Vineyard Blvd Ste. A325 # 5532, Honolulu, HI 9681Honolulu, HI 96817 · Phone (630) 426-9437
Location 6680 North Lake Shore Drive Suite 110 - 1993Chicago, IL 60611 · Phone (630) 426-9437

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 My Abundant Life Therapy's NPI number?

The NPI number for My Abundant Life Therapy is 1184592875. It was assigned to this organization in the NPPES registry on October 25, 2025.

Where is My Abundant Life Therapy located?

My Abundant Life Therapy is located at 3534 Clarence Ave, Berwyn, IL 60402. The listed phone number is (312) 330-2561.

What is My Abundant Life Therapy'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 My Abundant Life Therapy was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.