Lotus Mental Health System LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LOTUS MENTAL HEALTH SYSTEM LLC

Practice address

21604 Dogwood Rd
Matteson, IL 60443-4400

Phone

(815) 393-9850

Fax

(815) 205-4812

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Mikail Bass, LCSWNPI 1568924561

Title

Owner

Phone

(708) 646-4467

Specialties & licenses 1

Addresses

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.

• Mikail Bass

  • Social Worker
  • Hazel Crest, IL
  • NPI 1568924561
  Authorized official Same address or phone

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1255053526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21604 DOGWOOD RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604434400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21604 DOGWOOD RD",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604434400",
            "telephone_number": "815-393-9850",
            "fax_number": "815-205-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MENTAL HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-11",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MIKAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-646-4467",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Veronica Littleton, L.C.P.C.
• Anthony Lockridge, PHARMD
• Lakeisha Ann Longino
• Jessica Lopez, DPT
• Tara Rae Lorenzi, PHARM.D.
• Love Behavioral Health Consulting, LLC
• Jessica Ashley Love Jordan, PHD, LCPC, NCC, CADC
• Lovebird Home Care LLC (Infinity Love Care)
• Lovebird Mobile Lab LLC
• Valesta Ludlow

• Community/Behavioral Health Agency in Matteson, IL
• Providers in Matteson, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.