MEDICARE: LITTLE LEAPS CHILD AND FAMILY 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

General Provider Information

NPI Number	:	1639041692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE LEAPS CHILD AND FAMILY COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2446 W MADISON ST STE 11087
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-2240
Country	:	US
Telephone Number	:	779-707-0614
Fax Number	:

Provider Business Practice Location Address
First Line	:	2627 W WALTON ST APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-5410
Country	:	US
Telephone Number	:	779-707-0614
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND THERAPIST
Name	:	ALYNN KRISTINE MCCORMICK
Credential	:	LCPC, ATR
Telephone Number	:	779-707-0614

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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