NPIMap

Organization Active NPI

Just a Mile Away Mental Health Services Inc.

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1205584026
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JUST A MILE AWAY MENTAL HEALTH SERVICES INC.
Practice address
4415 W Monroe St
Chicago, IL 60624-2545
Phone
(773) 678-0707
NPI assigned
Mar 10, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Miss Tatiana Lane, MBA
Title
Owner
Phone
(773) 678-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

4415 W Monroe St
Chicago, IL 60624-2545

Mailing address

PO Box 440312
Chicago, IL 60644-0306

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.justamileawaymhs.com Direct
CONNECT URL www.justamileawaymhs.com Direct

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1205584026",
    "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": "4415 W MONROE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242545",
            "telephone_number": "773-678-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST A MILE AWAY MENTAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-678-0707",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.justamileawaymhs.com",
            "affiliation": "N",
            "endpointDescription": "website where individuals can connect to company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5552 W Quincy St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606444236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.justamileawaymhs.com",
            "affiliation": "N",
            "endpointDescription": "website where individuals can contact healthcare concerns",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "website",
            "address_1": "5552 W Quincy St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606444236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 10, 2022; 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.