Organization Active NPI

Counseling Center of Lakeview

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1013228717
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
180.004932 Issued in IL
Legal business name
COUNSELING CENTER OF LAKEVIEW
Practice address
3225 N Sheffield Ave
Chicago, IL 60657-2210
Phone
(773) 549-5886
Fax
(773) 549-5892
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James John Chrystal Jr., L.C.P.C.
Title
Caseworker 4
Phone
(773) 549-5886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 180.004932 IL Primary

Addresses

Primary practice location

3225 N Sheffield Ave
Chicago, IL 60657-2210

Mailing address

3225 N Sheffield Ave
Chicago, IL 60657-2210
Phone (773) 549-5886

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1013228717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572210",
            "telephone_number": "773-549-5886",
            "fax_number": "773-549-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572210",
            "telephone_number": "773-549-5886",
            "fax_number": "773-549-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF LAKEVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "CHRYSTAL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CASEWORKER 4",
        "authorized_official_telephone_number": "773-549-5886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.004932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.