Organization Active NPI

Just a Mile Away Mental Health Services Inc.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1093606345
Registry record updated Jul 14, 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
324 S Laramie Ave Unit 440312
Chicago, IL 60644-7314
Phone
(708) 775-2825
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Tatiana Lane
Title
Executive Director
Phone
(708) 775-2825

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

324 S Laramie Ave Unit 440312
Chicago, IL 60644-7314

Mailing address

324 S Laramie Ave
Chicago, IL 60644-7339

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.

Locations

324 S Laramie Ave
Chicago, IL 60644

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1093606345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S LARAMIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606447339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S LARAMIE AVE UNIT 440312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606447314",
            "telephone_number": "708-775-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST A MILE AWAY MENTAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "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
        }
    ],
    "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 14, 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.