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WHOLE HEARTED PSYCHOTHERAPY LLC
NPI 1730695560
Social Worker - Clinical in Chicago, IL

Active since December 15, 2017
1454 W FARRAGUT AVE, CHICAGO, IL 60640(312) 203-9211 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Dec 15, 2017 (3 updates tracked since 2017).

About Whole Hearted Psychotherapy Llc NPPES

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

WHOLE HEARTED PSYCHOTHERAPY LLC (NPI 1730695560) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Evanston and lists Jacques A Gourguechon, Senior Counselor, as its authorized official.

NPPES Registry Identity

NPI1730695560
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWHOLE HEARTED PSYCHOTHERAPY LLC
Location Address1454 W FARRAGUT AVEChicago, IL 60640-2104
Mailing Address1454 W Farragut AveChicago, IL 60640-2104 · (312) 203-9211
Phone(312) 203-9211
Organization SubpartNo
Authorized OfficialJacques A GourguechonSenior Counselor · (312) 203-9211
Enumeration DateDecember 15, 2017
Last NPPES UpdateJune 16, 20183 updates tracked since enumeration
✔ NPI 1730695560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149002222
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1454 W FARRAGUT AVE, Chicago, IL 60640
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Secondary Practice Location 1

Location 12530 Crawford AveEvanston, IL 60201-4970 · Phone (312) 203-9211

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

JACQUES GOURGUECHON, LPC
Community/Behavioral Health
1454 W FARRAGUT AVE
CHICAGO, IL 60640
Cook County (312) 203-9211
PRUDENCE L. GOURGUECHON, M.D. S.C.
Psychoanalyst
1454 W FARRAGUT AVE
CHICAGO, IL 60640
Cook County (773) 878-8082
MR. JACQUES A. GOURGUECHON LPC
Counselor (Professional)
1454 W FARRAGUT AVE
CHICAGO, IL 60640
Cook County (312) 203-9211

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 Whole Hearted Psychotherapy LLC's NPI number?

The NPI number for Whole Hearted Psychotherapy LLC is 1730695560. It was assigned to this organization in the NPPES registry on December 15, 2017.

Where is Whole Hearted Psychotherapy LLC located?

Whole Hearted Psychotherapy LLC is located at 1454 W Farragut Ave, Chicago, IL 60640. The listed phone number is (312) 203-9211.

What is Whole Hearted Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Whole Hearted Psychotherapy LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.