CHICAGO MENTAL AND LIFEWELLNESS INSTITUTE
Community/Behavioral Health

Address: 4645 S King Dr, Chicago, IL 60653-4148

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 4645 S KING DR
City CHICAGO
State IL
Zip Code 60653-4148

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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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
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Dataset Information

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.