SELF ASSEMBLED PSYCHOTHERAPY, PLLC
NPI 1356064208
Counselor - Mental Health in Chicago, IL

Active since September 26, 2022
5206 N LIND AVE, CHICAGO, IL 60630(608) 217-4711 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 24, 2022, Oct 10, 2022, Sep 26, 2022 (3 updates tracked since 2022).

About Self Assembled Psychotherapy, Pllc NPPES

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

SELF ASSEMBLED PSYCHOTHERAPY, PLLC (NPI 1356064208) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since September 2022. The organization lists Katherine Jellinek Aldag, Founder & Bilingual Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1356064208
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameSELF ASSEMBLED PSYCHOTHERAPY, PLLC
Location Address5206 N LIND AVEChicago, IL 60630-1436
Mailing Address5206 N Lind AveChicago, IL 60630-1436 · (608) 217-4711
Organization SubpartNo
Authorized OfficialKatherine Jellinek AldagFounder & Bilingual Psychotherapist · (608) 217-4711
Enumeration DateSeptember 26, 2022
Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
NPI 1356064208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
5206 N LIND AVE, Chicago, IL 60630

Other Identifiers 1

Other1760098966IL · Licensed Professional Counselor

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


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
5206 N LIND AVE
CHICAGO, IL 60630
Counselor (Mental Health)
5206 N LIND AVE
CHICAGO, IL 60630

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356064208, enumerated as an "organization" on September 26, 2022.

The provider is located at 5206 N LIND AVE CHICAGO, IL 60630 and the phone number is (608) 217-4711.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.