COMMUNITY COUNSELING CENTERS OF CHICAGO (NPI# 1194849604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194849604 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTERS OF CHICAGO |
| Practice Address |
5710 N Winthrop Ave Chicago IL 60660-4335 |
| Mailing Address |
4740 N Clark St Chicago IL 60640-4689 |
| Practice Telephone | 7737650750 |
| Practice Fax Number | 7737650751 |
| Mailing Telephone | 7737690205 |
| Mailing Fax Number | 7737650801 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. ANTHONY A KOPERA (PRESIDENT & C.E.O.) |
| Authorized Official Telephone | 7737690205 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
04029 | IL | Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1114393691 | Community Counseling Centers of Chicago | Community/Behavioral Health | 2542 W North Ave, Chicago, IL 60647-5216 | 2015-08-19 |
| 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 |
5710 N WINTHROP AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.