MEDICARE: LIGHTING FIRES 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
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1760320139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHTING FIRES COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1355 W ESTES AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-5443
Country	:	US
Telephone Number	:	815-862-4847
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 W ESTES AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-5443
Country	:	US
Telephone Number	:	815-862-4847
Fax Number	:

Authorized Official
Title or Position	:	OWNER THERAPIST
Name	:	JESSICA YORK
Credential	:	LCPC
Telephone Number	:	703-901-9374

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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