TRAUMA THERAPY CHICAGO LLC
NPI 1558148460
Community/Behavioral Health in Chicago, IL

NPI Status: Active since September 13, 2023

Contact Information

1730 N CLARK ST APT 1410
CHICAGO, IL
ZIP 60614
Phone: (805) 300-4056

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About TRAUMA THERAPY CHICAGO LLC

This page provides the complete NPI Profile along with additional information for Trauma Therapy Chicago Llc, a provider established in Chicago, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1558148460 assigned on September 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Keiko Izumi Lcpc (Owner)

NPI
1558148460
Provider Name
TRAUMA THERAPY CHICAGO LLC
Entity Type
Organization
Location Address
1730 N CLARK ST APT 1410 CHICAGO, IL 60614
Location Phone
(805) 300-4056
Mailing Address
1730 N CLARK ST APT 1410 CHICAGO, IL 60614
Mailing Phone
(805) 300-4056
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2023
Last Update Date
03-30-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KEIKO IZUMI LCPC

Authorized Official Title
OWNER
Authorized Official Phone
(805) 300-4056

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558148460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251082416412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 2 + 4 + 1 + 6 + 4 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1558148460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831766419MS. KEIKO IZUMI MA, LCPC, NCC
Individual
Counselor (Professional)1730 N CLARK ST APT 1410
CHICAGO, IL 60614
(805) 300-4056

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558148460, enumerated in the NPI registry as an "organization" on September 13, 2023

The provider is located at 1730 N Clark St Apt 1410 Chicago, Il 60614 and the phone number is (805) 300-4056

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 13, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.