MEDICARE: HYDE PARK COUNSELING & THERAPY PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101200000X	Drama Therapist
2	101YP2500X	Professional Counselor
3	1041C0700X	Clinical Social Worker
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255280012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HYDE PARK COUNSELING & THERAPY PLLC

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 930
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8700
Country	:	US
Telephone Number	:	312-761-5868
Fax Number	:	312-761-5868

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR STE 930
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8700
Country	:	US
Telephone Number	:	312-761-5868
Fax Number	:	312-761-5868

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	APRIL KAMILAH ROBINSON
Credential	:	LCPC
Telephone Number	:	708-646-6979

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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