Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386083665 Individual Practitioner Female Practitioner

Othella Banner , LCPC

Counselor • Chicago, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Othella Banner, LCPC is a registered healthcare professional specializing in Counselor in Chicago, IL. Official NPI practice address is registered at 641 W 63RD ST.

Practice Location & Contact Primary Location

Practice Address

641 W 63rd St

Chicago, IL 606212032

Telephone 3127477496
Associated Practice Facility / Clinic
🏢 City Of Chicago Facility NPI 1871595256

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
538 Specialists

Practicing in Chicago, IL (3897 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
180001054 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Daniel Sasuta

Counselor - Professional

NPI 1184936957
Pierre Kimbrough

Counselor - Professional

NPI 1205251063
Joanne Jones , LCSW

Social Worker - Clinical

NPI 1306147491

Licensed Clinical Social Worker

Daniel Jean , MA

Counselor - Professional

NPI 1558682187

Master of Arts

Amanda Thompson

Counselor - Mental Health

NPI 1689002339
NPI 1730490269

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2013

Registered at 641 W 63RD ST, CHICAGO, IL 606212032 (Tel: 3127477496)

📍
Updated Business Mailing Address June 19, 2013

Registered at 641 W 63RD ST, CHICAGO, IL 606212032 (Tel: 3127477496)

👤
Provider Name / Credentials Updated June 19, 2013

Recorded as OTHELLA BANNER, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2013

Counselor (License #101Y00000X in IL)

🟢
Initial NPI Registration & Enumeration June 19, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386083665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2013
Last Update: June 19, 2013
Sole Proprietor: No

Mailing Address

641 W 63rd St

Chicago, IL 606212032

Phone: 3127477496

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.