NPIMap

Organization Active NPI

Behavioral Healthcare Providers LTD

  • Multi-Specialty Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1043781958
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BEHAVIORAL HEALTHCARE PROVIDERS LTD
Practice address
1375 E Schaumburg Rd Ste 240
Schaumburg, IL 60194-3643
Phone
(847) 895-4540
Fax
(847) 895-4544
NPI assigned
Dec 17, 2018
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Chrissie Garza
Title
Billing/Credentialing
Phone
(847) 895-4540

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Multi-Specialty Clinic/Center 261QM1300X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1375 E Schaumburg Rd Ste 240
Schaumburg, IL 60194-3643

Mailing address

1375 E Schaumburg Rd Ste 240
Schaumburg, IL 60194-3643
Phone (847) 895-4540

Other names 1

  • Behavioral Healthcare Providers Ltd. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190311000991 IL Part B Supplier - Clinic/Group Practice 5395084297 Receives reassigned benefits from 12 practitioners
Practice locations: Schaumburg, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1018822Behavioral Healthcare Providers1375 E Schaumburg Rd-Suite 230, Schaumburg, IL 60194Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Locations

1375 E Schaumburg Rd
Ste 240
Schaumburg, IL 60194
Phone (847) 895-4540

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1043781958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG RD STE 240",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943643",
            "telephone_number": "847-895-4540",
            "fax_number": "847-895-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG RD STE 240",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943643",
            "telephone_number": "847-895-4540",
            "fax_number": "847-895-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTHCARE PROVIDERS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-07-08",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "CHRISSIE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "847-895-4540"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Healthcare Providers Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Behavioral Healthcare Providers Ltd.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.