MEDICARE: TRIPLE C 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1982315156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPLE C COUNSELING PLLC

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 1101631
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4546
Country	:	US
Telephone Number	:	773-466-4640
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR STE 1101631
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4546
Country	:	US
Telephone Number	:	773-466-4640
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL THERAPIST
Name	:	JASON BARNER
Credential	:	LCPC
Telephone Number	:	773-466-4640

Provider Enumeration Date	:	12/08/2022
Last Update Date	:	05/04/2026

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