PROJECT VIDA, INC.
Counselor

Address: 2659 S Kedvale Ave, Chicago, IL 60623-4322

PROJECT VIDA, INC. (NPI# 1285167577) 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) 1285167577
Entity Type Organization
Organization Name PROJECT VIDA, INC.
Practice Address 2659 S Kedvale Ave
Chicago
IL 60623-4322
US
Practice Telephone 7732772291
Mailing Address 2659 S Kedvale Ave
Chicago
IL 60623-4322
US
Mailing Telephone 7732772291
Enumeration Date 2017-04-04
Last Update Date 2017-04-04
Authorized Official Telephone 7732772291
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 104100000X Social Worker 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 2659 S KEDVALE AVE
City CHICAGO
State IL
Zip Code 60623-4322

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NPI Name Taxonomy Address Enumeration
1093876492 Amal Hachache Psychiatry & Neurology - Neurology 2875 W 19th Street, St Anthony Hospital, Chicago, IL 60623 2006-12-12
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1861639023 Community Occupational Therapy Occupational Therapist 3000 S. Pulaski Rd., Chgo, IL 60623 2009-01-09
1629697917 East Oaks Dialysis LLC · Marshall Square Dialysis Clinic/Center - End-Stage Renal Disease (ESRD) Treatment 2950 W 26th St, Chicago, IL 60623 2020-04-16
1023286770 New Age Services Corporation Counselor - Professional 1330 South Kostner Ave., Chicago, IL 60623 2008-02-15
1902969413 Soma Rehab Inc Physical Therapist 3004 South Pulaski Road, Chicago, IL 60623 2006-12-18
1992055487 Margaret C Johnson · Margaret Schrenk Nurse Practitioner - Women's Health 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1447580899 Candace Nicole Hutchen Pharmacist 3434 West 13th Place, Chicago, IL 60623 2010-01-07
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1821133430 Usha R Vakharia General Practice 26th Street Medical Service Coop Sc 3814 W 26th Street, Chicago, IL 60623 2007-02-21
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134886336 Bryanna A Tartt Counselor 300 W Adams St Ste 514, Chicago, IL 60606-5108 2021-11-22
1548926256 Gisel Elisa Martinez Counselor 3410 W Roosevelt Rd, Chicago, IL 60624-4343 2021-11-17
1659049377 Jennifer Walsh Stevens Counselor 1922 W George St, Chicago, IL 60657-4022 2021-08-30
1174290324 Angela Tsai Counselor 1525 E 55th St Ste 301-B, Chicago, IL 60615-5512 2021-08-25
1992471890 Nicole Cathleen Giangiulio Counselor 3252 W Wabansia Ave, Chicago, IL 60647-0159 2021-08-19
1629744990 Brian Belen Counselor 1802 W Belmont Ave, Chicago, IL 60657-9376 2021-08-18
1811660640 Joseph L Winford Counselor 8349 S Racine Ave, Chicago, IL 60620-3119 2021-07-28
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
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Competitor

Search similar providers

City CHICAGO
Zip Code 60623

Providers with similar names

NPI Name Taxonomy Address Enumeration
1619245180 Project Vida Health Center · Project Vida Health Center-Dell City Clinic/Center - Federally Qualified Health Center (FQHC) 104 S. Dodson, Dell City, TX 79837 2011-12-12
1922376128 Project Vida Health Center · Project Vida Health Center-Ft. Hancock Clinic/Center - Federally Qualified Health Center (FQHC) 561 S. Knox, Ft. Hancock, TX 79839 2011-12-02
1477134229 Buena Vida Acupuncture Project LLC Acupuncturist 12251 Augusta Woods Cir, Orlando, FL 32824-9051 2021-04-14
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1598431728 The Phoenix Project, Inc Case Management 2313 Katie Leigh Ln Ste 5, Monroe, NC 28110-6435 2021-08-18
1457933525 Project Chesapeake, LLC Substance Abuse Rehabilitation Facility 2669a Solomons Island Rd, Edgewater, MD 21037-1101 2021-04-27
1659044352 The Couples Project Marriage & Family Therapist 67 Riverview Rd, Gloucester, MA 01930-1671 2021-07-28
1467028258 Project Renewal Substance Abuse Rehabilitation Facility 8 E 3rd St Fl 2, New York, NY 10003-8908 2021-06-02

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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.