CHICAGO MENTAL AND LIFEWELLNESS INSTITUTE (NPI# 1013507433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013507433 |
| Entity Type | Organization |
| Organization Name | CHICAGO MENTAL AND LIFEWELLNESS INSTITUTE |
| Practice Address | 4645 S King Dr Chicago IL 60653-4148 |
| Practice Telephone | 7734399748 |
| Mailing Address | 4645 S King Dr Chicago IL 60653-4148 |
| Mailing Telephone | 7734399748 |
| Certification Date | 2021-01-20 |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |
| Authorized Official Telephone | 7734399748 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address | 4645 S KING DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003406000 | Premier Primary Care and Alternative Health Center | Family Medicine | 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 | 2021-01-22 |
| 1083217061 | Mark Harris | Counselor | 4235 S King Drive Ave Unit 1, Chicago, IL 60653 | 2020-11-20 |
| 1881215804 | Pamela Ann Brazelton-Sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc · Marianos Pharmacy #8539 | Pharmacy · Community/Retail Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC · Ivory Dental Specialist LLC | Dentist · Orthodontics and Dentofacial Orthopedics | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center · Mercy Family Health Center Fqhc | Clinic/Center · Federally Qualified Health Center (FQHC) | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| Find all providers in zip 60653 | ||||
| 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 |
|---|---|---|---|---|
| 1922697143 | Pride Roc | 765 W 69th St, Chicago, IL 60621-2435 | 2021-01-12 | |
| 1285230110 | Guided Hands Foundation | 1074 W Taylor St # 238, Chicago, IL 60607-4336 | 2020-12-07 | |
| 1336753896 | Counseling Kennedy Shenberg | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 | |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 | |
| 1164030557 | Acorn & Oak Counseling Pllc | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 | |
| 1144848300 | Marathon Mindset Counseling LLC | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 | |
| 1417586678 | Invisions Behavioral Health LLC | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 | |
| 1871124784 | Nurture Therapy, LLC | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 | |
| 1962032086 | Bucktown Therapy | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 | |
| 1770121436 | Guided Expressions LLC | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376049049 | Lee Rice D.o. Medical Corporation · Lifewellness Institute | Family Medicine | 2448 Historic Decatur Rd Ste 130, San Diego, CA 92106-6127 | 2018-04-02 |
| 1467655894 | Illinois Institute for Integrative Mental Health Ltd | Psychiatry & Neurology · Psychiatry | 4770 N Lincoln Ave Ste 7, Chicago, IL 60625-1056 | 2007-06-05 |
| 1639348253 | Human Resources Development Institute, Inc · Hrdi Mental Health Outpatient | Clinic/Center · Mental Health (Including Community Mental Health Center) | 33 E 114th St, Chicago, IL 60628-4921 | 2008-02-28 |
| 1184605826 | Clarinda Mental Health Institute · Mental Health Institute | Psychiatric Hospital | 1800 N 16th St, Clarinda, IA 51632-1165 | 2005-11-09 |
| 1780028092 | California Institute of Health & Social Services, Inc. · Alafia Mental Helath Institute | Community/Behavioral Health | 315 W Pondera St, A, Lancaster, CA 93534-3681 | 2013-04-18 |
| 1144664459 | California Institute of Health & Social Services · Alafia Mental Health Institute | Community/Behavioral Health | 43845 10th St W, 2b, Lancaster, CA 93534-4800 | 2013-04-18 |
| 1801911862 | California Institute of Health & Social Services, Inc. · Alafia Mental Health Institute | Community/Behavioral Health | 43845 10th St W, 2b, Lancaster, CA 93534-4800 | 2007-03-20 |
| 1497888051 | California Institute of Health & Social Services, Inc. · Alafia Mental Health Institute | Community/Behavioral Health | 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248-1612 | 2007-03-13 |
| 1649395740 | California Institute of Health & Social Services, Inc. · Alafia Mental Health Institute | Community/Behavioral Health | 3756 Santa Rosalia Dr, Suite 628, Los Angeles, CA 90008-3606 | 2007-03-20 |
| 1407221732 | Aegis Institute, Inc. · Aegis Institute for Mental Health | Psychologist | 7246 Remmet Ave, Canoga Park, CA 91303-1531 | 2015-12-11 |
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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.