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

Origem Psychotherapy LLC

Organization Mental Health Counselor · NPI 1750040341

Origem Psychotherapy LLC is a Mental Health Counselor in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 W Belmont Ave Ste 300
Chicago, IL 60657-3200
Phone: (312) 219-2476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1750040341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Camila De Azevedo — Psychotherapist, Owner · (312) 219-2476
NPI enumeratedDecember 11, 2021
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address1300 W Belmont Ave Ste 300, Chicago, IL 60657-3200

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