YOUTH OUTREACH SERVICES (NPI# 1568916476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568916476 |
| Entity Type | Organization |
| Organization Name | YOUTH OUTREACH SERVICES |
| Practice Address |
4419 W North Ave Youth Outreach Services Melrose Park IL 60160-1021 |
| Mailing Address |
2411 W Congress Pkwy Youth Outreach Services Chicago IL 60612-3534 |
| Practice Telephone | 7737777112 |
| Practice Fax Number | 7085477732 |
| Mailing Telephone | 7737777112 |
| Mailing Fax Number | 7737777611 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| 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-0534-0011-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 |
| 1023562303 | Youth Outreach Services | Community/Behavioral Health | 5910 W Division St, Youth Outreach Services, Chicago, IL 60651-1031 | 2016-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | YOUTH OUTREACH SERVICES LLC | 7957 Drake Dr, Chandler, IN 47610 |
| Street Address |
4419 W NORTH AVE YOUTH OUTREACH SERVICES |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811227341 | Youth Outreach Services | Clinic/Center | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2010-01-06 |
| 1730723651 | Scott William Rein Jr. | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2019-11-04 |
| 1356812358 | Amber Lynn Maiberger | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-12-17 |
| 1477024321 | Barbara Murphy | Social Worker | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-12-17 |
| 1427529429 | Xavier Martillo | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-12-17 |
| 1730654567 | Shuyi Chen | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-10-08 |
| 1902380322 | Carly Gelb | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-09-21 |
| 1144702747 | Stephanie Ann Vermillion | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-08-30 |
| 1689160822 | Karla E Suarez | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-07-10 |
| 1982192985 | Lillian Martinez | Counselor | 4419 W North Ave, Melrose Park, IL 60160-1021 | 2018-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| 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 |
|---|---|---|---|---|
| 1699953711 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 1633 N 37th Ave, Melrose Park, IL 60160-1723 | 2008-01-31 |
| 1518416643 | Presence Health Care | Community/Behavioral Health | 1414 Main St, Melrose Park, IL 60160-3902 | 2016-09-30 |
| 1447640180 | Presence Health | Community/Behavioral Health | 1414 Main St, Melrose Park, IL 60160-3902 | 2015-02-03 |
| 1255730875 | Presence Behavioral Health Procare Centers | Community/Behavioral Health | 1414 Main St, Melrose Park, IL 60160-3902 | 2014-08-19 |
| 1023452448 | Presence Behavioral Health Procare Centers | Community/Behavioral Health | 1414 Main St, Melrose Park, IL 60160-3902 | 2013-04-29 |
| 1679720809 | The Threshold | Community/Behavioral Health | 1919 Main St, Melrose Park, IL 60160-3737 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.