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ORIGEM PSYCHOTHERAPY LLC
NPI 1750040341
Counselor - Mental Health in Chicago, IL

Active since December 11, 2021
1300 W BELMONT AVE STE 300, CHICAGO, IL 60657(312) 219-2476 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2023, Aug 23, 2022, Dec 16, 2021 and 1 more (4 updates tracked since 2021).

About Origem Psychotherapy Llc NPPES

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

ORIGEM PSYCHOTHERAPY LLC (NPI 1750040341) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since December 2021. The organization lists Camila O. De Azevedo, Psychotherapist, Owner, as its authorized official.

NPPES Registry Identity

NPI1750040341
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameORIGEM PSYCHOTHERAPY LLC
Location Address1300 W BELMONT AVE STE 300Chicago, IL 60657-3200
Mailing Address1300 W Belmont Ave Ste 300Chicago, IL 60657-3200 · (312) 219-2476
Phone(312) 219-2476
Organization SubpartNo
Authorized OfficialCamila O. De AzevedoPsychotherapist, Owner · (312) 219-2476
Enumeration DateDecember 11, 2021
Last NPPES UpdateDecember 13, 20234 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1750040341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1300 W BELMONT AVE STE 300, Chicago, IL 60657
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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 13

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

KATHERINE BAKER LCPC
Counselor (Mental Health)
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (312) 620-5420
DORALIS CORIANO ORTIZ LCPC
Counselor (Professional)
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (773) 880-1310
MARIANA REYES DAZA
Marriage & Family Therapist
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (872) 228-1211
LANDEN ARCHIBALD MOTYKA MSW, LCSW
Social Worker
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (773) 880-1310
SOPHIA GRACE ETLING MA
Social Worker (Clinical)
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (773) 880-1310
JACOB PENROD
Marriage & Family Therapist
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (773) 880-1310
SARAH SCHAFFER LSW
Social Worker
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (773) 880-1310
JANAY ELIZABETH ANTHONY
Marriage & Family Therapist
1300 W BELMONT AVE STE 300
CHICAGO, IL 60657
Cook County (312) 945-8229

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 Origem Psychotherapy LLC's NPI number?

The NPI number for Origem Psychotherapy LLC is 1750040341. It was assigned to this organization in the NPPES registry on December 11, 2021.

Where is Origem Psychotherapy LLC located?

Origem Psychotherapy LLC is located at 1300 W Belmont Ave Ste 300, Chicago, IL 60657. The listed phone number is (312) 219-2476.

What is Origem Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Origem Psychotherapy LLC was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.