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MRS. OTHELLA BANNER LCPC
NPI 1386083665
Counselor in Chicago, IL

Active since June 19, 2013
641 W 63RD ST, CHICAGO, IL 60621(312) 747-7496 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Othella Banner Lcpc NPPES

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

MRS. OTHELLA BANNER LCPC (NPI 1386083665) is an individual counselor in Chicago, Illinois, licensed in Illinois (101Y00000X) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1386083665
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. OTHELLA BANNERCredential: LCPC
Location Address641 W 63RD STChicago, IL 60621-2032
Mailing Address641 W 63rd StChicago, IL 60621-2032 · (312) 747-7496
Phone(312) 747-7496
Sole ProprietorNo
Enumeration DateJune 19, 2013
✔ NPI 1386083665 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 · 101Y00000X
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.
641 W 63RD ST, Chicago, IL 60621
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Other Identifiers 1

Other180001054IL · License

Other Providers at the Same Location NPPES 20

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

KIERA BRYANT
Nurse Practitioner (Women's Health)
641 W 63RD ST
CHICAGO, IL 60621
Cook County (773) 388-1600
CORETTA J PRUITT
Case Manager/Care Coordinator
641 W 63RD ST
CHICAGO, IL 60621
Cook County (224) 531-7966
ADAM KULA RN
Registered Nurse (Community Health)
641 W 63RD ST
CHICAGO, IL 60621
Cook County (773) 388-1600
CITY OF CHICAGO
Clinic/Center (Adult Mental Health)
641 W 63RD ST, L33
CHICAGO, IL 60621
Cook County (312) 747-7496
HOWARD BROWN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
641 W 63RD ST
CHICAGO, IL 60621
Cook County (773) 388-1600
JOANNE JONES LCSW
Social Worker (Clinical)
641 W 63RD ST, L33
CHICAGO, IL 60621
Cook County (312) 747-7496
WINNIE LIN
Pediatrics
641 W 63RD ST
CHICAGO, IL 60621
Cook County (312) 996-2000
JENINE LEE CHILES PSY.D.
Psychologist (Clinical)
641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621
Cook County (312) 745-0662

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 Othella Banner's NPI number?

The NPI number for Othella Banner is 1386083665. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Othella Banner located?

Othella Banner practices at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (312) 747-7496.

What is Othella Banner'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 Othella Banner was last updated on June 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.