AMETHYST THERAPY P.C.
NPI 1770955163
Counselor in Chicago, IL

Active since October 24, 2015
1809 W 95TH ST, CHICAGO, IL 60643(708) 568-1770 Get Directions Write a Review

NPPES record last updated: October 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amethyst Therapy P.c. NPPES

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

AMETHYST THERAPY P.C. (NPI 1770955163) is a healthcare organization registered as a counselor in Chicago, Illinois and active in the NPI registry since October 2015. The organization lists Lakeshia M Sumrall-carr, Owner, as its authorized official.

NPPES Registry Identity

NPI1770955163
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameAMETHYST THERAPY P.C.
Location Address1809 W 95TH STChicago, IL 60643-1103
Mailing Address9128 S Troy AveEvergreen Park, IL 60805-1628
Organization SubpartNo
Authorized OfficialLakeshia M Sumrall-carrOwner · (773) 793-3386
Enumeration DateOctober 24, 2015
NPI 1770955163 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 · 180007546
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.
1809 W 95TH ST, Chicago, IL 60643

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

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 Amethyst Therapy P.C.'s NPI number?

The NPI number for Amethyst Therapy P.C. is 1770955163. It was assigned to this organization in the NPPES registry on October 24, 2015.

Where is Amethyst Therapy P.C. located?

Amethyst Therapy P.C. is located at 1809 W 95th St, Chicago, IL 60643. The listed phone number is (708) 568-1770.

What is Amethyst Therapy P.C.'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 Amethyst Therapy P.C. was last updated on October 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.