COMMUNITY COUNSELING CENTERS OF CHICAGO (NPI# 1114393691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114393691 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTERS OF CHICAGO |
| Practice Address |
2542 W North Ave Chicago IL 60647-5216 |
| Practice Telephone | 7733657277 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | CANDACE KOVACS (SASS SUPERVISOR) |
| Authorized Official Telephone | 7733657277 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225152796 | Community Counseling Centers of Chicago | Clinic/Center | 1029 S May St, Chicago, IL 60607-4232 | 2007-03-19 |
| 1740304229 | Community Counseling Centers of Chicago | Clinic/Center | 4604 N Beacon St, Chicago, IL 60640-4605 | 2007-03-19 |
| 1194849604 | Community Counseling Centers of Chicago | Clinic/Center | 5710 N Winthrop Ave, Chicago, IL 60660-4335 | 2007-03-19 |
| 1487778536 | Community Counseling Centers of Chicago | Clinic/Center | 11740 S Western Ave, Chicago, IL 60643-4732 | 2007-03-16 |
| 1952418469 | Community Counseling Centers of Chicago | Clinic/Center | 2545 W North Ave, Chicago, IL 60647-5296 | 2006-08-23 |
| 1548608482 | Community Counseling Centers of Chicago | Community/Behavioral Health | 1123 Emerson St, Evanston, IL 60201-3100 | 2013-06-13 |
| 1376841262 | Community Counseling Centers of Chicago | Community/Behavioral Health | 2525 W Peterson Ave, Chicago, IL 60659-4108 | 2011-03-02 |
| 1841520855 | Community Counseling Centers of Chicago | Clinic/Center | 4740 N Clark St, Chicago, IL 60640-4689 | 2010-01-14 |
| 1013247022 | Community Counseling Centers of Chicago | Clinic/Center | 4740 N Clark St, Chicago, IL 60640-4689 | 2010-01-14 |
| 1487984498 | Community Counseling Centers of Chicago | Clinic/Center | 4740 N Clark St, Chicago, IL 60640-4689 | 2010-01-14 |
| Street Address |
2542 W NORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750395786 | Victoria Pape | Counselor | 2542 W North Ave, Chicago, IL 60647-5216 | 2006-07-27 |
| 1942808290 | Rachel Kristi Ourada | Social Worker | 2542 W North Ave, Chicago, IL 60647-5216 | 2020-10-09 |
| 1477025385 | Lauren Mosley | Social Worker | 2542 W North Ave, Chicago, IL 60647-5216 | 2018-12-18 |
| 1720573454 | Arlyn Marisa Bateman | Marriage & Family Therapist | 2542 W North Ave, Chicago, IL 60647-5216 | 2018-06-26 |
| 1407384464 | Elizabeth R Tulsky | Social Worker | 2542 W North Ave, Chicago, IL 60647-5216 | 2017-06-02 |
| 1942740055 | Celeste Richards Bonanno | Social Worker | 2542 W North Ave, Chicago, IL 60647-5216 | 2017-03-08 |
| 1811430416 | Elizabeth Petruzzi | Counselor | 2542 W North Ave, Chicago, IL 60647-5216 | 2016-11-30 |
| 1194268144 | Ryan Catania | Social Worker | 2542 W North Ave, Chicago, IL 60647-5216 | 2016-11-23 |
| 1649626854 | Madeline Macy Root | Social Worker | 2542 W North Ave, Chicago, IL 60647-5216 | 2016-05-05 |
| 1063872695 | Rebecca Claire Bobrow | Social Worker | 2542 W North Ave, Chicago, IL 60647-5216 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| 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.