Beverly Group MHS, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.010964 Issued in IL

Legal business name

BEVERLY GROUP MHS, INC.

Practice address

53 W Jackson Blvd
Suite 1705
Chicago, IL 60604-3606

Phone

(773) 490-0576

NPI assigned

May 7, 2010

Last updated

May 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Latrice Foules, MSW

Title

Counselor

Phone

(708) 906-7912

Specialties & licenses 1

Addresses

Tax ID family

Beverly Group Mental Health Services Inc2 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.

• Beverly Group Mental Health Services, Inc

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1164715181
  NPD tax ID

Locations

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1073831525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 S BERKELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606533610",
            "telephone_number": "773-490-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "SUITE 1705",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "773-490-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY GROUP MHS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "FOULES",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "708-906-7912",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Beverlin, D.C.
• Beverly Behavioral Health, LTD
• Beverly Bone and Joint Clinic LLC
• Beverly Family Chiropractic Center
• Beverly Group Mental Health Services, Inc
• Beverly Henderson LTD P.C
• Beverly Hills Home Care
• Beverly Hills Home Services, Inc
• Beverly Physical Therapy LTD
• Beverly Podiatry Center, LLC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.