Active NPI
Minds Empowered Counseling
- Mental Health Counselor
- Homewood, IL
National Provider Identifier
1053039198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MINDS EMPOWERED COUNSELING
- Practice address
- 905 175TH St
Homewood, IL 60430-2057 - Phone
- (773) 294-8312
- NPI assigned
- Aug 15, 2022
- 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
- Kreszentia Snyder
- Title
- President
- Phone
- (773) 294-8312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
905 175TH St
Homewood, IL 60430-2057
Mailing address
905 175TH St
Homewood, IL 60430-2057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180007782 | Other | IL | IDFPR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.mindsempowered.org |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1477821338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1053039198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 175TH ST",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 175TH ST",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302057",
"telephone_number": "773-294-8312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDS EMPOWERED COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "KRESZENTIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-294-8312"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFPR",
"identifier": "180007782",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.mindsempowered.org",
"affiliation": "N",
"address_1": "905 175th St",
"city": "Homewood",
"state": "IL",
"country_code": "US",
"postal_code": "604302057",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Homewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.