Mrs. Othella Banner is a Chicago, Illinois based counselor who is specialized as Counselor. Active license number of Mrs. Othella Banner is 101Y00000X for Counselor in Illinois. Her current practice location is 641 W 63rd St, Chicago. Patients can book an appointment with her at 312-747-7496.
Mrs. Othella Banner is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Mrs. Othella Banner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mrs. Othella Banner |
| Specialization: | Counselor |
| Gender: | Female |
| Credentials: | LCPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 641 W 63rd St, Chicago,
Illinois, 60621-2032 |
| Phone: | 312-747-7496 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1386083665 |
| NPI Enumeration Date: | 19 Jun, 2013 |
| NPI Last Update On: | 19 Jun, 2013 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Othella Banner are as mentioned below.
| License Number | Specialization | State | Status | |
| 101Y00000X | Counselor | Illinois | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Othella Banner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 180001054 | Other | Illinois | LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 641 W 63rd St,
Chicago, Illinois |
| Zip: | 60621-2032 |
| Phone Number: | 312-747-7496 |
Patients can reach Mrs. Othella Banner at
641 W 63rd St, Chicago, Illinois or can
call to book an appointment on 312-747-7496.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.