Organization Active NPI

New Age Services Corporation

  • Methadone Clinic
  • Elmhurst, IL
National Provider Identifier
1073023149
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
NEW AGE SERVICES CORPORATION
Doing business as
New Age Services Corporation
Practice address
386 N York St
Elmhurst, IL 60126-2363
Phone
(630) 501-1742
Fax
(773) 542-1175
NPI assigned
Oct 3, 2017
Organization subpart
Yes
Parent organization
NEW AGE SERVICES CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Dr. Tonyia Winston, PHD
Title
Ceo
Phone
(773) 542-1150

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X A-0579-0001-A IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X A-0579-0001-A IL
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 16008 IL
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 16008 IL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 16008 IL
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X A-0579-0001-A IL
Community/Behavioral Health Agency 251S00000X 16008 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 16008 IL
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-0579-0001-A IL
Substance Use Disorder Rehabilitation Hospital Unit 276400000X IL

Addresses

Primary practice location

386 N York St
Elmhurst, IL 60126-2363

Mailing address

386 N York St
Elmhurst, IL 60126-2363
Phone (630) 501-1742

Other practice location 1

1330 S Kostner Ave
Chicago, IL 60623-1152
Phone (773) 542-1150

Other identifiers 1

IdentifierTypeStateIssuer
333304755-60623-01MedicaidIL

Other names 1

  • New Age Services Corporation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Age Services Corporation4 organizations share this tax ID, including this one
Part of
New Age Services Corporation

Other organizations with this tax ID 3

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

Locations

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1073023149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363",
            "telephone_number": "630-501-1742",
            "fax_number": "773-542-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262363",
            "telephone_number": "630-501-1742",
            "fax_number": "773-542-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 S Kostner Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606231152",
            "country_code": "US",
            "telephone_number": "773-542-1150",
            "fax_number": "773-542-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW AGE SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW AGE SERVICES CORPORATION",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "TONYIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-542-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A-0579-0001-A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "A-0579-0001-A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "16008",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "IL",
            "license": "16008",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "16008",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "A-0579-0001-A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "16008",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "16008",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-0579-0001-A",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333304755-60623-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Age Services Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.