Healthcare Provider Details

I. General information

NPI: 1639874977
Provider Name (Legal Business Name): HYDE PARK COUNSELING & THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 E 53RD ST STE 435
CHICAGO IL
60615-4575
US

IV. Provider business mailing address

680 N LAKE SHORE DR STE 930
CHICAGO IL
60611-8700
US

V. Phone/Fax

Practice location:
  • Phone: 773-789-5040
  • Fax: 773-789-5040
Mailing address:
  • Phone: 773-789-5040
  • Fax: 773-789-5040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: APRIL K ROBINSON
Title or Position: EXECUTIVE DIRECTOR/PROVIDER
Credential:
Phone: 773-789-5040