Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mandala Counseling & Psychological Services, PLLC

Organization Counselor · NPI 1538724364

Mandala Counseling & Psychological Services, PLLC is a Counselor in Chicago, Illinois. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5212 N Clark St Ste 222
Chicago, IL 60640-1223
Phone: (773) 454-7202
Fax: (773) 465-5041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1538724364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Jackson — Owner · (773) 454-7202
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019
Mailing address5212 N. Clark Street, Suite 222, Chicago, IL 60640-1223

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