MEDICARE: CONFIDENTLY YOU COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518817857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFIDENTLY YOU COUNSELING PLLC

Provider Business Mailing Address
First Line	:	2108 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5436
Country	:	US
Telephone Number	:	847-243-7788
Fax Number	:

Provider Business Practice Location Address
First Line	:	2108 W NORTH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5436
Country	:	US
Telephone Number	:	847-243-7788
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CAROLYN SIMON
Credential	:	LCPC
Telephone Number	:	847-243-7788

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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