COCREATE PROF CORP
NPI 1396771697
Psychologist - Clinical in Chicago, IL

Q: What is Cocreate Prof Corp's NPI number?

The NPI number for Cocreate Prof Corp is 1396771697. It was assigned to this organization in the NPPES registry on June 25, 2006.

Q: What is Cocreate Prof Corp's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 25, 2006

3850 N LAWNDALE AVE, STE 203, CHICAGO, IL 60618(773) 539-9183(773) 509-0874 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, Aug 22, 2020 (2 updates tracked since 2020).

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About Cocreate Prof Corp NPPES

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

COCREATE PROF CORP (NPI 1396771697) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since June 2006. The organization lists Joann Dakota Cimo, President, as its authorized official.

NPPES Registry Identity

NPI1396771697

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCOCREATE PROF CORP

Location Address3850 N LAWNDALE AVE, STE 203Chicago, IL 60618-4115

Mailing Address3850 N Lawndale Ave, Ste 203Chicago, IL 60618-4115 · (773) 539-9183 · Fax (773) 509-0874

Phone(773) 539-9183

Fax(773) 509-0874

Organization SubpartNo

Authorized OfficialJoann Dakota CimoPresident · (773) 539-9183

Enumeration DateJune 25, 2006

Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1396771697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-006748

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3850 N LAWNDALE AVE, Chicago, IL 60618

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cocreate Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cocreate Prof Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Joann Cimo, PHD CLINICAL PSYCHOL

Clinical Psychologist

NPI 1982650263

3850 N LAWNDALE AVE STE 203
Chicago, IL 60618

(773) 539-9183

✔ PECOS✔ Accepts MedicareSame address

Theo Pintzuk, LCSW

Clinical Social Worker

NPI 1063455889

3850 N LAWNDALE AVE
Chicago, IL 60618

(773) 539-9183

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cocreate Prof Corp's NPI number?

The NPI number for Cocreate Prof Corp is 1396771697. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Cocreate Prof Corp located?

Cocreate Prof Corp is located at 3850 N Lawndale Ave Ste 203, Chicago, IL 60618. The listed phone number is (773) 539-9183.

What is Cocreate Prof Corp's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Cocreate Prof Corp enrolled in Medicare?

Yes. Cocreate Prof Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cocreate Prof Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Cocreate Prof Corp, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cocreate Prof Corp was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.