Family Building Blocks

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1825273 Issued in IL

Legal business name

FAMILY BUILDING BLOCKS

Practice address

10450 S Western Ave
Chicago, IL 60643-2508

Phone

(773) 429-9454

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Bouck, MANPI 1871646570

Title

LCPC

Phone

(773) 429-9454

Specialties & licenses 1

Addresses

Tax ID family

Family Building Blocks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Building Blocks, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1972791101
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy M Bouck, LCPC

  • Professional Counselor
  • Tinley Park, IL
  • NPI 1871646570
  NPD Authorized official
• Lisa Durbin, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1730588021
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1013316470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432508",
            "telephone_number": "773-429-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432508",
            "telephone_number": "773-429-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY BUILDING BLOCKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "BOUCK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "773-429-9454",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "1825273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families Together Therapy Services
• Family & Medicine Laboratory LLC
• Family Adolescent Child Treatment Service LLC
• Family Adult Child Therapy Services Facts PLLC
• Family Affair Transportation LLC
• Family Building Blocks, LLC
• Family Care Acupuncture & Herbs
• Family Care Acupuncture and Herbs Inc
• Family Care Associates LTD
• Family Care Associates of Chicago

• Early Intervention Provider Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.