MEDICARE: FOUNTAIN PSYCHOTHERAPY & CONSULTATION, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1811828569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNTAIN PSYCHOTHERAPY & CONSULTATION, PLLC

Provider Business Mailing Address
First Line	:	5425 N NORMANDY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-2119
Country	:	US
Telephone Number	:	773-309-1709
Fax Number	:

Provider Business Practice Location Address
First Line	:	5425 N NORMANDY AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-2119
Country	:	US
Telephone Number	:	773-309-1709
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	LAUREN SCHMIDT
Credential	:	LCSW
Telephone Number	:	630-439-5358

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

Similar Medicare Providers

1770124935 — LAUREN K SCHMIDT
Practice Location Address:

5425 N NORMANDY AVE
CHICAGO, IL
60656-2119

Practice Phone: 630-439-5358
Practice Fax:

1063504819 — MICHAEL A. GUTHRIE D.D.S.
Practice Location Address:

2300 S MICHIGAN AVE STE 100
CHICAGO, IL
60616-2119

Practice Phone: 872-302-5322
Practice Fax: 872-282-0337

1629199567 — DR. MICHAEL J TANSEY PH.D.
Practice Location Address:

151 N MICHIGAN AVE , SUITE 2119
CHICAGO, IL
60601-7506

Practice Phone: 312-729-5225
Practice Fax:

1316163447 — DR. SUZANNE MCNEILL PH.D.
Practice Location Address:

111 N WABASH AVE , SUITE 2119
CHICAGO, IL
60602-1903

Practice Phone: 312-372-0971
Practice Fax: 312-280-9942

1124468830 — CARSON MUMMA OTR/L
Practice Location Address:

2119 W BELMONT AVE , 1C
CHICAGO, IL
60618-6463

Practice Phone: 717-572-5899
Practice Fax:

1043696966 — ROHSAAN ALEXANDER
Practice Location Address:

8212 S ESCANABA AVE
CHICAGO, IL
60617-2119

Practice Phone: 773-910-2056
Practice Fax:

Directions to “FOUNTAIN PSYCHOTHERAPY & CONSULTATION, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.