THERESA ELAINE MCKENNIE LPC
NPI 1306690474
Counselor - Professional in Chicago, IL

Active since April 15, 2024
1505 E 53RD ST # 2E, CHICAGO, IL 60615(312) 487-3791 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Professional

About THERESA MCKENNIE

This page provides the complete NPI Profile along with additional information for Theresa Mckennie, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1306690474 assigned on April 2024. The practitioner's primary taxonomy code is 101YP2500X with license number 178.014061 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1306690474 Verify this NPI
Provider Name
THERESA ELAINE MCKENNIE LPC
Gender
Female
Entity Type
Individual
Location Address
1505 E 53RD ST # 2E CHICAGO, IL 60615
Location Phone
(312) 487-3791
Mailing Address
2220 E 70TH PL APT 3 CHICAGO, IL 60649
Mailing Phone
(773) 507-5512
Is Sole Proprietor?
No
Enumeration Date
04-15-2024
Last Update Date
04-15-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
178.014061
License State
IL

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Professional)
1505 E 53RD ST # 2E
CHICAGO, IL 60615
Counselor (Professional)
1505 E 53RD ST # 2E
CHICAGO, IL 60615
Counselor (Professional)
1505 E 53RD ST # 2E
CHICAGO, IL 60615
Counselor (Professional)
1505 E 53RD ST # 2E
CHICAGO, IL 60615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306690474, enumerated as an "individual" on April 15, 2024.

The provider is located at 1505 E 53RD ST # 2E CHICAGO, IL 60615 and the phone number is (312) 487-3791.

Counselor with taxonomy code 101YP2500X and a focus in Professional.