Healthcare Provider Details

I. General information

NPI: 1760320139
Provider Name (Legal Business Name): LIGHTING FIRES COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 W ESTES AVE
CHICAGO IL
60626-5443
US

IV. Provider business mailing address

1355 W ESTES AVE
CHICAGO IL
60626-5443
US

V. Phone/Fax

Practice location:
  • Phone: 815-862-4847
  • Fax:
Mailing address:
  • Phone: 815-862-4847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JESSICA YORK
Title or Position: OWNER THERAPIST
Credential: LCPC
Phone: 703-901-9374