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AUTHENTIC CONNECTION SERVICES PLLC
NPI 1205600103
Counselor - Professional in Chicago, IL

Active since November 10, 2023
1643 W FARRAGUT AVE APT 1, CHICAGO, IL 60640(314) 757-7241 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Authentic Connection Services Pllc NPPES

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

AUTHENTIC CONNECTION SERVICES PLLC (NPI 1205600103) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since November 2023. The organization lists Timothy Joseph Jordan, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1205600103
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameAUTHENTIC CONNECTION SERVICES PLLC
Location Address1643 W FARRAGUT AVE APT 1Chicago, IL 60640-0881
Mailing Address1643 W Farragut Ave Apt 1Chicago, IL 60640-0881 · (314) 757-7241
Phone(314) 757-7241
Organization SubpartNo
Authorized OfficialTimothy Joseph JordanOwner/manager · (314) 757-7241
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
✔ NPI 1205600103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1643 W FARRAGUT AVE APT 1, Chicago, IL 60640
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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

Other Providers at the Same Location NPPES

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

TIMOTHY J JORDAN LCPC
Counselor (Professional)
1643 W FARRAGUT AVE APT 1
CHICAGO, IL 60640
Cook County (314) 757-7241

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 Authentic Connection Services PLLC's NPI number?

The NPI number for Authentic Connection Services PLLC is 1205600103. It was assigned to this organization in the NPPES registry on November 10, 2023.

Where is Authentic Connection Services PLLC located?

Authentic Connection Services PLLC is located at 1643 W Farragut Ave Apt 1, Chicago, IL 60640. The listed phone number is (314) 757-7241.

What is Authentic Connection Services PLLC'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 Authentic Connection Services PLLC was last updated on November 10, 2023. 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.