NPIMap

Organization Active NPI

Just a Mile Away Mental Health Services Inc.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1083316392
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JUST A MILE AWAY MENTAL HEALTH SERVICES INC.
Practice address
1440 W. Taylor St
Chicago, IL 60607-0000
Phone
(708) 775-2825
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Tatiana Lane
Title
Ceo
Phone
(708) 775-2825

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1440 W. Taylor St
Chicago, IL 60607-0000

Mailing address

PO Box 440312
Chicago, IL 60644-0306

National Provider Directory

National Provider Directory
Tax ID family
Just a Mile Away Mental Health Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1083316392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606440306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W. TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606070000",
            "telephone_number": "708-775-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST A MILE AWAY MENTAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-775-2825"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 23, 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.