Active NPI
Juvenile Protective Association
- Community/Behavioral Health Agency
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 149018731
- Legal business name
- JUVENILE PROTECTIVE ASSOCIATION
- Practice address
- 1707 N Halsted St
Chicago, IL 60614-5501 - Phone
- (312) 440-9034
- NPI assigned
- Mar 15, 2017
- Last updated
- Mar 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Gilmore, LCSW
- Title
- Clinical Director
- Phone
- (773) 332-3058
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 149018731 | IL | Primary |
Addresses
Primary practice location
1707 N Halsted St
Chicago, IL 60614-5501
Mailing address
1707 N Halsted St
Chicago, IL 60614-5501
Phone (312) 440-9034
National Provider Directory
National Provider Directory- Tax ID family
- Juvenile Protective Association
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1609083815
-
- Adolescent and Children Mental Health Clinic/Center
- Chicago, IL
- NPI 1972567709
Locations
1707 N Halsted St
Chicago, IL 60614
Phone (312) 440-1203
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Mill City, OR
- NPI 1295944791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1023559705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 N HALSTED ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145501",
"telephone_number": "312-440-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 N HALSTED ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145501",
"telephone_number": "312-440-9034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUVENILE PROTECTIVE ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "GILMORE",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "773-332-3058",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "149018731",
"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 Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.