NPIMap

Organization Active NPI

Minds Empowered Counseling Services LLC

  • Mental Health Counselor
  • Homewood, IL
National Provider Identifier
1164098380
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDS EMPOWERED COUNSELING SERVICES LLC
Practice address
905 175TH St
Homewood, IL 60430-2057
Phone
(312) 388-1505
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Elaine SmithNPI 1093170631
Title
Owner/Therapist
Phone
(312) 388-1505

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

905 175TH St
Homewood, IL 60430-2057

Mailing address

905 175TH St
Homewood, IL 60430-2057
Phone (312) 388-1505

National Provider Directory

National Provider Directory

Locations

905 175th St
Homewood, IL 60430
Phone (312) 388-1505

Practitioners & affiliated clinicians

Practitioners 1

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": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1164098380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302057",
            "telephone_number": "312-388-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302057",
            "telephone_number": "312-388-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS EMPOWERED COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "312-388-1505"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.