LAKE MICHIGAN PSYCHOTHERAPY SERVICES, PLLC
NPI 1730036823
Counselor - Professional in Chicago, IL

Active since March 16, 2026
4050 N LINCOLN AVE, CHICAGO, IL 60618(773) 257-3017 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Michigan Psychotherapy Services, Pllc NPPES

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

LAKE MICHIGAN PSYCHOTHERAPY SERVICES, PLLC (NPI 1730036823) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since March 2026. The organization lists Ryan Michelsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1730036823
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLAKE MICHIGAN PSYCHOTHERAPY SERVICES, PLLC
Location Address4050 N LINCOLN AVEChicago, IL 60618-3067
Mailing Address4050 N Lincoln AveChicago, IL 60618-3067 · (773) 257-3017
Organization SubpartNo
Authorized OfficialRyan MichelsenOwner · (773) 257-3017
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
NPI 1730036823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4050 N LINCOLN AVE, Chicago, IL 60618

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 7

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

Counselor (Professional)
4050 N LINCOLN AVE
CHICAGO, IL 60618
Marriage & Family Therapist
4050 N LINCOLN AVE
CHICAGO, IL 60618
Counselor
4050 N LINCOLN AVE
CHICAGO, IL 60618
Counselor (Professional)
4050 N LINCOLN AVE
CHICAGO, IL 60618
Psychologist (Clinical)
4050 N LINCOLN AVE, UNIT 1
CHICAGO, IL 60618
Marriage & Family Therapist
4050 N LINCOLN AVE
CHICAGO, IL 60618
Social Worker (Clinical)
4050 N LINCOLN AVE
CHICAGO, IL 60618

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 Lake Michigan Psychotherapy Services, PLLC's NPI number?

The NPI number for Lake Michigan Psychotherapy Services, PLLC is 1730036823. It was assigned to this organization in the NPPES registry on March 16, 2026.

Where is Lake Michigan Psychotherapy Services, PLLC located?

Lake Michigan Psychotherapy Services, PLLC is located at 4050 N Lincoln Ave, Chicago, IL 60618. The listed phone number is (773) 257-3017.

What is Lake Michigan Psychotherapy Services, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lake Michigan Psychotherapy Services, PLLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.