A BEAUTIFUL MIND, INC (NPI# 1245830298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245830298 |
| Entity Type | Organization |
| Organization Name | A BEAUTIFUL MIND, INC |
| Practice Address |
5113 S Harper Ave Ste 2c Chicago IL 60615-4119 |
| Practice Telephone | 7733043699 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | CHIQUITA LEE (CEO/FOUNDER) |
| Authorized Official Telephone | 7733043699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | 000 | 01 | |
| N/A | 0000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851959357 | A Beautiful Mind, Inc | Clinic/Center | 5113 S Harper Ave # 2c, Chicago, IL 60615-4119 | 2019-05-31 |
| 1598325698 | A Beautiful Mind, Inc | Nurse Practitioner | 805 Century Dr Ste 5, Dubuque, IA 52002-3771 | 2019-06-19 |
| Street Address |
5113 S HARPER AVE STE 2C |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215960026 | Lee Anthony Dudley | Emergency Medicine | 5113 S Harper Ave Ste 2c, Chicago, IL 60615 | 2006-07-08 |
| 1164035291 | Elisabeth Lemasters | Social Worker | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-08-28 |
| 1134732415 | Sweet Homes Health Care, LLC. | Home Health | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-08-26 |
| 1801405501 | Briana Bell | Counselor | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-07-28 |
| 1962026625 | Edwina Rochelle Morgan | Nurse Practitioner | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-05-28 |
| 1508490418 | Edwinner T Joyner | Home Health Aide | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2020-02-29 |
| 1154970291 | Thrive Psychological Services LLC | Counselor | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2019-09-11 |
| 1669030672 | Desiree Anne Wilkinson | Psychologist | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2019-06-04 |
| 1164986709 | Aishia Marie Pearson | Massage Therapist | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2019-01-28 |
| 1639641020 | Melissa Angelina O'sha | Psychologist | 5113 S Harper Ave Ste 2c, Chicago, IL 60615-4119 | 2018-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1376839274 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2443 E 77th St, Chicago, IL 60649-4730 | 2011-06-20 |
| 1821384736 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7919 S Essex Ave, Chicago, IL 60617-1213 | 2011-06-20 |
| 1669768560 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8006 S Essex Ave, Chicago, IL 60617-1221 | 2011-06-20 |
| 1427344332 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7131 S Western Ave, Chicago, IL 60636-3614 | 2011-06-20 |
| 1831485739 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7133 S Western Ave, Chicago, IL 60636-3614 | 2011-06-20 |
| 1639465545 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7701 S Phillips Ave, Chicago, IL 60649-4705 | 2011-06-20 |
| 1265727614 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7623 S Essex Ave, Chicago, IL 60649-4037 | 2011-06-14 |
| 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.