Organization Active NPI

Chicago Pride Center

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1114406873
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHICAGO PRIDE CENTER
Practice address
4809 N Ravenswood Ave Unit 210
Chicago, IL 60640-4417
Phone
(773) 334-3533
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Mr. Hugh Cole, LCSWNPI 1346681350
Title
Cfo
Phone
(773) 334-3533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

4809 N Ravenswood Ave Unit 210
Chicago, IL 60640-4417

Mailing address

7637 N Bosworth Ave
Chicago, IL 60626-7159
Phone (773) 319-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190801002430 IL Part B Supplier - Clinic/Group Practice 1456687193 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

4809 N Ravenswood Ave
Unit 210
Chicago, IL 60640
Phone (773) 334-3533

4633 N Western Ave
Ste 211
Chicago, IL 60625
Phone (773) 319-4325

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1114406873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7637 N BOSWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606267159",
            "telephone_number": "773-319-4325",
            "fax_number": "773-439-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404417",
            "telephone_number": "773-334-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PRIDE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-334-3533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.