What is Embolden Therapy's NPI number?

Embolden Therapy's National Provider Identifier (NPI) is 1003778317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

Where is Embolden Therapy located?

Embolden Therapy's practice location on file with NPPES is 811 W 15th Pl Unit 503, Chicago, IL 60608-1641.

What is Embolden Therapy's phone number?

The practice phone number listed in the NPPES registry for Embolden Therapy is (773) 217-9371.

Who is the authorized official for Embolden Therapy?

The authorized official listed on Embolden Therapy's NPPES record is Emily Deaver, Clinical Professional Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Embolden Therapy's NPI active?

Yes — Embolden Therapy's NPI (1003778317) is active in the NPPES registry as of the last update on 2025-11-25.

OrganizationActive

Embolden Therapy

NPI 1003778317 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL

Embolden Therapy is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Chicago, IL (NPI 1003778317).

Provider details

NPI number: 1003778317
Entity type: Organization
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Emily Deaver, Clinical Professional Counselor(773) 217-9371

Practice location

811 W 15th Pl Unit 503

Chicago, IL 60608-1641

Phone: (773) 217-9371

Street-level locationGet directions

More IL providers

Mailing address

811 W 15th Pl Unit 503

Chicago, IL 60608-1641

Specialties & taxonomies

Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801X
Ambulatory Health Care Facilities

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2025-11-25
Last updated: 2025-11-25
Certified: 2025-11-25

Frequently asked questions

What is Embolden Therapy's NPI number?: Embolden Therapy's National Provider Identifier (NPI) is 1003778317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Embolden Therapy?: Embolden Therapy is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
Where is Embolden Therapy located?: Embolden Therapy's practice location on file with NPPES is 811 W 15th Pl Unit 503, Chicago, IL 60608-1641.
What is Embolden Therapy's phone number?: The practice phone number listed in the NPPES registry for Embolden Therapy is (773) 217-9371.
Who is the authorized official for Embolden Therapy?: The authorized official listed on Embolden Therapy's NPPES record is Emily Deaver, Clinical Professional Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Embolden Therapy's NPI active?: Yes — Embolden Therapy's NPI (1003778317) is active in the NPPES registry as of the last update on 2025-11-25.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions