Autumn Healthcare of Illinois is a Adult Mental Health Clinic/Center (organization) practicing in Evergreen Pk, Illinois. The National Provider Identifier (NPI) is #1205317377, which was assigned on August 27, 2018, and the registration record was last updated on October 23, 2025. The practitioner's main practice location is at 9449 S Kedzie Ave, Suite 142, Evergreen Pk, IL 60805-2325; the contact telephone number is 7734203481. The primary taxonomy of Autumn Healthcare of Illinois is Adult Mental Health Clinic/Center (261QM0850X), with specialization in Adult Mental Health. The authorized official for Autumn Healthcare of Illinois is James Brown (Office Manager).
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
| NPI | 1205317377 |
| Entity Type | Organization |
| Organization Name | AUTUMN HEALTHCARE OF ILLINOIS |
| Provider Name | AUTUMN HEALTHCARE OF ILLINOIS |
| Practice Address |
9449 S Kedzie Ave Suite 142 Evergreen Pk IL 60805-2325 |
| Practice Telephone | 7734203481 |
| Mailing Address |
9449 S Kedzie Ave Evergreen Pk IL 60805-2325 |
| Mailing Telephone | 7734203481 |
| Certification Date | 2025-10-23 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-10-23 |
| Is Organization Subpart | N |
| Official Name | JAMES BROWN |
| Official Title | OFFICE MANAGER |
| Telephone | 7738527454 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 261QM0855X | Clinic/Center | Adolescent and Children Mental Health | |||
| Y | 261QM0850X | Clinic/Center | Adult Mental Health |
| Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| Grouping | Ambulatory Health Care Facilities |
| Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| Grouping | Ambulatory Health Care Facilities |
| Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Bloom Family Services | 1701 S 1st Ave Ste 204c, Maywood, IL 60153-2400 | Adult Mental Health Clinic/Center | 2026-06-02 |
| Healing With Feeling Counseling LLC | 6315 Forbes Ave Ste 114b, Pittsburgh, PA 15217-1745 | Adult Mental Health Clinic/Center | 2026-06-02 |
| Nurelium Health LLC | 11200 W Flagler St Ste 201, Miami, FL 33174-1183 | Adult Mental Health Clinic/Center | 2026-06-03 |
| Reset Behavioral Health LLC | 1902 Wright Pl, Carlsbad, CA 92008-6583 | Adult Mental Health Clinic/Center | 2026-06-03 |
| Anchorpoint Medical of The Ozarks | 106 Main St, Van Buren, MO 63965-7377 | Adult Mental Health Clinic/Center | 2026-06-06 |
| Guidelight Health Services, LLC | 729 E Pratt St Ste 400, Baltimore, MD 21202-3329 | Adult Mental Health Clinic/Center | 2026-06-01 |
| Wallflower Therapy | 3933 Millennium Dr, Greensboro, NC 27455-8457 | Adult Mental Health Clinic/Center | 2026-06-02 |
| Distracted Excellence LLC | 506 Hayward Ave, Fruitland, MD 21826-1421 | Adult Mental Health Clinic/Center | 2026-06-04 |
| Mindful Living Center Texas Austin LLC | 7701 N Lamar Blvd Ste 210, Austin, TX 78752-1078 | Adult Mental Health Clinic/Center | 2026-06-01 |
| Lavender Heart Counseling PLLC | 80 Garden Ctr Ste 156, Broomfield, CO 80020-1790 | Adult Mental Health Clinic/Center | 2026-06-02 |
| Find all providers with the same taxonomy | |||
| Street Address |
9449 S KEDZIE AVE SUITE 142 |
| City | EVERGREEN PK |
| State | IL |
| Zip Code | 60805-2325 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jefferson Diabetes Consultants, L.L.C. | 9449 S Kedzie Ave # 560, Evergreen Park, IL 60805-2325 | Health Service Clinic/Center | 2017-11-09 |
| Anulab LLC | 9449 S Kedzie Ave Ste 357, Evergreen Park, IL 60805-2325 | Clinical Medical Laboratory | 2021-10-05 |
| Maya Izabel Green | 9449 S Kedzie Ave, Evergreen Park, IL 60805-2325 | Family Medicine Physician | 2008-05-19 |
| Alecia Jefferson | 9449 S Kedzie Ave # 560, Evergreen Park, IL 60805-2325 | Family Nurse Practitioner | 2011-06-02 |
| Rw Nursestaffers | 9449 S Kedzie Ave, Evergreen Park, IL 60805-2325 | Home Health Agency | 2007-10-12 |
| Timothy Lee | 9449 S Kedzie Ave Ste 425, Evergreen Park, IL 60805-2325 | Counselor | 2026-04-17 |
| Alfred W Evans Jr. | 9449 S Kedzie Ave Ste 265, Evergreen Park, IL 60805-2325 | Ambulatory Care Pharmacist | 2025-07-09 |
| Patricia A Hardmon | 9449 S Kedzie Ave, Ste 142, Evergreen Park, IL 60805-2325 | Clinical Social Worker | 2013-09-03 |
| Preferred Ambulance LLC | 9449 S Kedzie Ave Ste 301, Evergreen Park, IL 60805-2325 | Land Ambulance | 2019-08-19 |
| Lisa Lindsey-Robinson · Lisa Robinson | 9449 S Kedzie Ave, Ste 142, Evergreen Park, IL 60805-2325 | Clinical Social Worker | 2015-05-29 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Occupational Therapy Providers Inc. | 3849 W 95th Street, Evergreen Park, IL 60805 | Occupational Therapist | 2007-02-12 |
| Step By Step The Spa for Your Mind | 9730 S. Western Avenue Suite 234, Evergreen Park, IL 60805 | Mental Health Counselor | 2022-01-31 |
| Luke Blaeser | 2856 W. 97th Pl., Evergreen Park, IL 60805 | Athletic Trainer | 2017-07-25 |
| Nancy Sanchez | 9832 S Utica Ave, Evergreen Park, IL 60805 | Clinical Social Worker | 2015-05-28 |
| Cynthia Nicole Bucio · Cynthia Nicole Cajigas | 9400 S. Western, Evergreen Park, 60805 | Pharmacist | 2020-10-27 |
| Daniel Joseph Bierbaum Howard | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | Student in an Organized Health Care Education/Training Program | 2016-05-31 |
| Denise Adams | 9217 S. Kedzie, Evergreen Park, IL 60805 | Occupational Therapy Assistant | 2011-10-06 |
| Stephanie J Cermak · Stephanie J Denny | 2850 W. 95th Street, Suite 400, Evergreen Park, IL 60805 | Physician Assistant | 2012-04-12 |
| Victoria T Adesina | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | Pharmacist | 2011-12-05 |
| Lcr Primary Care LLC | 9237 S.Pulaski, Ste. 2s, Evergreen Park, IL 60805 | Exclusive Provider Organization | 2015-11-09 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lumen Optical Illinois 4, LLC | 2420 N Elston, Bucktown, IL 60647 | Pediatric Optometrist | 2017-01-11 |
| Sara Care Illinois LLC | 263 Shuman Blvd, Naperville, IL 60563-7700 | In Home Supportive Care Agency | 2026-05-19 |
| Autumn R Ruhr · Autumn R Ellis | 235 Progress Rd, Hannibal, MO 63401-6637 | Clinical Social Worker | 2026-06-02 |
| Summit Institute of Illinois LLC | 1902 W Union Hills Dr # 41340, Phoenix, AZ 85027-5984 | Surgery Physician | 2026-05-11 |
| Ivyrehab Illinois Aba, LLC | 1864 Johns Dr, Glenview, IL 60025-1657 | Behavior Technician | 2026-03-10 |
| Illinois Group 2023 LLC | 1002 Cascade Dr, Savoy, IL 61874-4403 | Family Medicine Physician | 2026-03-09 |
| Central Illinois Friends of Pwa, Inc. | 2112 E War Memorial Dr, Peoria, IL 61614-8002 | Mental Health Counselor | 2026-05-01 |
| Prime Healthcare Home Health Care Illinois, LLC | 20000 Governors Dr Ste 104, Olympia Fields, IL 60461-3001 | Home Health Agency | 2026-03-26 |
| Elevare In Illinois, PLLC | 111 N Wabash Ave Ste 100, Chicago, IL 60602-1903 | Addiction (Substance Use Disorder) Counselor | 2026-04-10 |
| Shs of Springfield Illinois LLC | 1604 Cressa Ct, Springfield, IL 62704-3278 | In Home Supportive Care Agency | 2026-04-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |