OUR HOUSE THERAPY COLLECTIVE A HEALING COMMUNITY
NPI 1982277836
Psychologist - Clinical in Chicago, IL

Active since July 20, 2021
2858 W DIVERSEY AVE, CHICAGO, IL 60647(708) 941-1761 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2023, Dec 7, 2022, Apr 6, 2022 and 1 more (4 updates tracked since 2021).

About Our House Therapy Collective A Healing Community NPPES

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

OUR HOUSE THERAPY COLLECTIVE A HEALING COMMUNITY (NPI 1982277836) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Chicago and lists Stephanie R Mcconville, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1982277836
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameOUR HOUSE THERAPY COLLECTIVE A HEALING COMMUNITY
Location Address2858 W DIVERSEY AVEChicago, IL 60647-1871
Mailing Address2858 W Diversey AveChicago, IL 60647-1871 · (708) 941-1761
Organization SubpartNo
Authorized OfficialStephanie R McconvilleTreasurer · (919) 360-5177
Enumeration DateJuly 20, 2021
Last NPPES UpdateMay 24, 20234 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1982277836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2858 W DIVERSEY AVE, Chicago, IL 60647

Secondary Practice Location 1

Location 13052 W George St Apt 1Chicago, IL 60618-7624 · Phone (919) 360-5177

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Our House Therapy Collective A Healing Community is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Our House Therapy Collective A Healing Community, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1679973663
2858 W DIVERSEY AVE
Chicago, IL 60647
(773) 217-8605
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1912407354
3145 W PRATT BLVD
Chicago, IL 60645
(773) 467-3744
✔ PECOS✔ Accepts Medicare5.0 mi
Clinical Social Worker
NPI 1720895634
8324 SKOKIE BLVD
Skokie, IL 60077
(847) 933-0051
✔ PECOS7.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Our House Therapy Collective A Healing Community's NPI number?

The NPI number for Our House Therapy Collective A Healing Community is 1982277836. It was assigned to this organization in the NPPES registry on July 20, 2021.

Where is Our House Therapy Collective A Healing Community located?

Our House Therapy Collective A Healing Community is located at 2858 W Diversey Ave, Chicago, IL 60647. The listed phone number is (708) 941-1761.

What is Our House Therapy Collective A Healing Community's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Our House Therapy Collective A Healing Community enrolled in Medicare?

Yes. Our House Therapy Collective A Healing Community is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Our House Therapy Collective A Healing Community?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Our House Therapy Collective A Healing Community, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Our House Therapy Collective A Healing Community was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.