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ROOTED SELF COUNSELING, PLLC
NPI 1932786787
Counselor - Mental Health in Chicago, IL

Active since March 26, 2021
4707 N BROADWAY ST STE 200, CHICAGO, IL 60640(773) 688-8255 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rooted Self Counseling, Pllc NPPES

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

ROOTED SELF COUNSELING, PLLC (NPI 1932786787) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since March 2021. The organization lists Norberto C Chavez, Manager, as its authorized official.

NPPES Registry Identity

NPI1932786787
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameROOTED SELF COUNSELING, PLLC
Location Address4707 N BROADWAY ST STE 200Chicago, IL 60640-4999
Mailing Address4707 N Broadway St Ste 200Chicago, IL 60640-4999 · (773) 688-8255
Phone(773) 688-8255
Organization SubpartNo
Authorized OfficialNorberto C ChavezManager · (773) 724-1168
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1932786787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4707 N BROADWAY ST STE 200, Chicago, IL 60640
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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 7

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

DR. CATHERINE EVE KLEINMUNTZ PHD, LSW
Social Worker
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (312) 210-0393
APRIL KOPP LCSW
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (708) 620-0354
KANIKA SHUKUL, LCPC, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (773) 832-7878
APRIL KOPP LCSW PLLC
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (708) 620-0354
ERIN TINNON, LCSW, PLLC
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (773) 796-5987
BRIDGET DIETZ LCSW
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (312) 971-9441
ERIN TINNON MSW, LCSW
Social Worker (Clinical)
4707 N BROADWAY ST STE 200
CHICAGO, IL 60640
Cook County (773) 796-5987

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 Rooted Self Counseling, PLLC's NPI number?

The NPI number for Rooted Self Counseling, PLLC is 1932786787. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Rooted Self Counseling, PLLC located?

Rooted Self Counseling, PLLC is located at 4707 N Broadway St Ste 200, Chicago, IL 60640. The listed phone number is (773) 688-8255.

What is Rooted Self Counseling, PLLC'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 Rooted Self Counseling, PLLC was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.