ALLYSSA ROSE BERTRAM LCPC CADC
NPI 1366058075
Counselor in Chicago, IL

Active since September 17, 2020
4055 W PETERSON AVE STE 202, CHICAGO, IL 60646(773) 774-4444 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Allyssa Rose Bertram Lcpc Cadc NPPES

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

ALLYSSA ROSE BERTRAM LCPC CADC (NPI 1366058075) is an individual counselor in Chicago, Illinois, licensed in Illinois (180.012157) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1366058075
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameALLYSSA ROSE BERTRAMCredential: LCPC CADC
Location Address4055 W PETERSON AVE STE 202Chicago, IL 60646-6183
Mailing Address702 Dempster St Apt E105Mount Prospect, IL 60056-6154 · (440) 452-5245
Sole ProprietorYes
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
NPI 1366058075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in IL · 180.012157
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4055 W PETERSON AVE STE 202, Chicago, IL 60646

Other Identifiers 1

Other180.012157IL · Lcpc

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 4

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

Counselor (Professional)
4055 W PETERSON AVE STE 202
CHICAGO, IL 60646
Counselor (Mental Health)
4055 W PETERSON AVE STE 202
CHICAGO, IL 60646
Social Worker (Clinical)
4055 W PETERSON AVE STE 202
CHICAGO, IL 60646
Counselor (Professional)
4055 W PETERSON AVE STE 202
CHICAGO, IL 60646

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 Allyssa Bertram's NPI number?

The NPI number for Allyssa Bertram is 1366058075. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Allyssa Bertram located?

Allyssa Bertram practices at 4055 W Peterson Ave Ste 202, Chicago, IL 60646. The listed phone number is (773) 774-4444.

What is Allyssa Bertram's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Allyssa Bertram was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.