YOUTH OUTREACH SERVICES (NPI# 1023562303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023562303 |
| Entity Type | Organization |
| Organization Name | YOUTH OUTREACH SERVICES |
| Practice Address |
5910 W Division St Youth Outreach Services Chicago IL 60651-1031 |
| Mailing Address |
2411 W Congress Pkwy Youth Outreach Services Chicago IL 60612-3534 |
| Practice Telephone | 7737777112 |
| Practice Fax Number | 7738873300 |
| Mailing Telephone | 7737777112 |
| Mailing Fax Number | 7737777611 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | MR. RICK VELASQUEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7737777112 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | YOUTH OUTREACH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | A-0534-0007-A | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B05-IPI-144 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1922411008 | Youth Outreach Services | Clinic/Center | 5910 W Division St, Chicago, IL 60651-1031 | 2014-06-06 |
| 1811227341 | Youth Outreach Services | Clinic/Center | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2010-01-06 |
| 1245560788 | Youth Outreach Services | Community/Behavioral Health | 6117 W Cermak Rd, Cicero, IL 60804-2023 | 2010-01-06 |
| 1770704579 | Youth Outreach Services | Community/Behavioral Health | 6417 W Irving Park Rd, Chicago, IL 60634-2437 | 2007-05-01 |
| 1538772413 | Youth Outreach Services | Community/Behavioral Health | 10 E Washington St, Highland Springs, VA 23075-1905 | 2020-08-28 |
| 1659825560 | Youth Outreach Services | Community/Behavioral Health | 6417 W Irving Park Rd, Youth Outreach Services, Chicago, IL 60634-2437 | 2016-08-09 |
| 1568916476 | Youth Outreach Services | Community/Behavioral Health | 4419 W North Ave, Youth Outreach Services, Melrose Park, IL 60160-1021 | 2016-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | YOUTH OUTREACH SERVICES LLC | 7957 Drake Dr, Chandler, IN 47610 |
| Street Address |
5910 W DIVISION ST YOUTH OUTREACH SERVICES |
| City | CHICAGO |
| State | IL |
| Zip Code | 60651-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922411008 | Youth Outreach Services | Clinic/Center | 5910 W Division St, Chicago, IL 60651-1031 | 2014-06-06 |
| 1265054704 | Tiesha Liggins | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2020-05-07 |
| 1144850470 | Jasmine Gervaiz Gaddy | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2020-01-26 |
| 1699249326 | Cole Vocelka | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2019-01-16 |
| 1548731417 | Amanda Victoria Mendoza | Social Worker | 5910 W Division St, Chicago, IL 60651-1031 | 2018-12-17 |
| 1740751791 | Cynthia Danielle Cruz | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-12-16 |
| 1326536376 | Tyrone Anderson | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-04-25 |
| 1801399480 | Tyesha Johnson | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-03-09 |
| 1114435617 | Jessica Chandler | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2018-01-18 |
| 1104332998 | Sheneca Curtis | Counselor | 5910 W Division St, Chicago, IL 60651-1031 | 2017-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215474978 | Kanesha Walker Amaro | Counselor | 5910 W Division, Chicago, IL 60651 | 2017-01-19 |
| 1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
| 1326596321 | Giselle Tisha Wallace | Nurse's Aide | 5809 W Rice, Chgo, IL 60651 | 2016-09-19 |
| 1811385214 | Jeanette Rodriguez | Social Worker | 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 | 2015-01-07 |
| 1801147475 | Diane Dickens-rogers | Massage Therapist | 5700 W. Chicago Ave., Chicago, IL 60651 | 2012-09-24 |
| 1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
| 1770860983 | Christine C Osborne | Pharmacist | 1541 N.central Ave, Chicago, IL 60651 | 2011-11-16 |
| 1629206388 | Habilitative Systems Inc | Case Management | 1049 N Drake Ave, Chicago, IL 60651 | 2009-07-01 |
| 1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
| 1306074000 | Habilitative Systems, Inc | Case Management | 915 N Massasoit Ave, Chicago, IL 60651 | 2009-07-01 |
| Find all providers in zip 60651 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.