Healthcare Provider Details

I. General information

NPI: 1255280012
Provider Name (Legal Business Name): HYDE PARK COUNSELING & THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 312-761-5868
  • Fax: 312-761-5868
Mailing address:
  • Phone: 312-761-5868
  • Fax: 312-761-5868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: APRIL KAMILAH ROBINSON
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC
Phone: 708-646-6979