Address: 3111 N Cicero Ave, Chicago, IL 60641-5110

CHICAGO GROWTH MINDSET LLC (NPI# 1770049462) 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) 1770049462
Entity Type Organization
Practice Address 3111 N Cicero Ave
IL 60641-5110
Practice Telephone 7736411321
Mailing Address 3111 N Cicero Ave
IL 60641-5110
Mailing Telephone 7736411321
Enumeration Date 2019-02-18
Last Update Date 2019-02-18
Authorized Official Telephone 7736411321
Authorized Official Credential LCSW
Is Organization Subpart N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 104100000X Social Worker 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers

Office Location

Street Address 3111 N CICERO AVE
State IL
Zip Code 60641-5110

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1477055168 Elaine Vozar Acupuncturist Ltd Acupuncturist 3817 N. Pulaski, Chicago, IL 60641 2018-03-08
1245643063 Lauren Emily Koch Dentist - General Practice 3800 N Pulaski Rd, Chicago, IL 60641 2014-06-09
1700364171 National Vision Inc · America's Best Contacts & Eyeglasses Technician/Technologist - Optician 4068 North Milwaukee Avenue, Chicago, IL 60641 2018-07-30
1548595408 Essential Preventive Health Care, LLC Home Health 4253 N. Milwaukee, Chicago, IL 60641 2009-10-11
1679916274 Don E Mccree Technician, Cardiology 2936 N. Kolmar, 3c, Chicago, IL 60641 2013-04-12
1255898482 Bernadeta Agnieszka Kapustka Nurse Practitioner - Family 5425 W Addison, Chicago, IL 60641 2019-02-24
1063038131 Victoria Carmen Grau Kazmierzcak Student in an Organized Health Care Education/Training Program 5458 W Grace St, Unit 2, Chicago, IL 60641 2020-06-24
1457600306 Julie Duff Nurse Practitioner - Obstetrics & Gynecology 5425 W. Addison, Chicago, IL 60641 2012-09-06
1093062721 Charlene J Giraldo · Charlene J Kaczynski Occupational Therapist 4080 N Milwaukee Ave, Chicago, IL 60641 2012-08-13
1659926921 Farah Alhaidar Counselor - Professional 4028 W Irving Park Rd Loft B, Chicago, IL 60641 2019-08-05
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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
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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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.