Mindful Living Center - Chicago LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MINDFUL LIVING CENTER - CHICAGO LLC

Practice address

5061 N Pulaski Rd
Chicago, IL 60630-2706

Phone

(323) 419-3869

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Erik Tolonen

Title

VP

Phone

(323) 419-3869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Mindful Living Center - Chicago LLC2 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.

• Mindful Living Center - Chicago LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Joliet, IL
  • NPI 1619761228
  NPD tax ID

Practitioners 2

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

• Cassandra Allibalogun, MHP

  • Mental Health Counselor
  • Aurora, IL
  • NPI 1508291840
  Medicare reassignment NPD
• Kelly Martin

  • Counselor
  • Joliet, IL
  • NPI 1639030257
  Medicare reassignment NPD

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1154906998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PACIFIC COAST HWY APT 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484859",
            "telephone_number": "323-419-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302706",
            "telephone_number": "323-419-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIVING CENTER - CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "TOLONEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "323-419-3869"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Behavior LLC
• Mindful Brothers Collective Foundation
• Mindful Heart Counseling, PLLC
• Mindful Journeys Behavioral Health, LLC
• Mindful Life Counseling, LLC
• Mindful Living Therapy, LLC
• Mindful Mattering PLLC
• Mindful Matters Clinical Counseling
• Mindful Minute Therapy LLC
• Mindful Moments Therapy LLC

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.