COMMUNITY COUNSELING CENTERS OF CHICAGO (NPI# 1750415998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750415998 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNSELING CENTERS OF CHICAGO |
| Practice Address |
4007 N Broadway St Chicago IL 60613-2110 |
| Mailing Address |
4740 N Clark St Chicago IL 60640-4689 |
| Practice Telephone | 7733051101 |
| Practice Fax Number | 7733051107 |
| Mailing Telephone | 7737690205 |
| Mailing Fax Number | 7737650801 |
| Enumeration Date | 2007-03-16 |
| 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 | 251S00000X | Community/Behavioral Health | 04029 | IL | 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 |
| 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 |
| Street Address |
4007 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-2110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154345080 | Nina J. Henry | Counselor | 4007 N Broadway St, Chicago, IL 60613-2110 | 2006-07-26 |
| 1619384575 | Phranque Wright | Acupuncturist | 4007 N Broadway St, 107, Chicago, IL 60613-6074 | 2014-07-11 |
| 1669739165 | Joyce Detrich | Massage Therapist | 4007 N Broadway St, 204, Chicago, IL 60613-6074 | 2012-04-20 |
| 1285912022 | Orchid Home Health, Inc | Home Health | 4007 N Broadway St, Suite 211, Chicago, IL 60613-6074 | 2011-07-27 |
| 1073813002 | Howard Michael Gelb | Social Worker | 4007 N Broadway St, 207, Chicago, IL 60613-6074 | 2010-10-25 |
| 1184894883 | Kristen Kathleen Rittenmeyer | Social Worker | 4007 N Broadway St, Chicago, IL 60613-2110 | 2008-03-10 |
| 1356539753 | Karrie Lynn Kindl-valdez | Social Worker | 4007 N Broadway St, Chicago, IL 60613-2110 | 2007-10-10 |
| 1295947414 | Valerie J Williams | Social Worker | 4007 N Broadway St, Chicago, IL 60613-2110 | 2007-05-03 |
| 1932223088 | Community Counseling Centers of Chicago | Clinic/Center | 4007 N Broadway St, Chicago, IL 60613-2110 | 2007-03-16 |
| 1437247376 | Robert E Reeves | Psychiatry & Neurology | 4007 N Broadway St, Chicago, IL 60613-2110 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| 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 |
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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.