S.a.C. Dui Counseling Center, LLC.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

S.A.C. DUI COUNSELING CENTER, LLC.

Doing business as

S.A.C. Dui COUNSELING CENTER, LLC.

Practice address

400 W 76TH St Ste 326
Chicago, IL 60620-1696

Phone

(773) 891-3653

NPI assigned

Apr 18, 2019

Last updated

Nov 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sonja Ann Collins, MA, MBA, CADCNPI 1982269007

Title

Executive Director

Phone

(773) 891-3653

Specialties & licenses 2

Addresses

Other names 1

• S.A.C. Dui COUNSELING CENTER, LLC. Doing business as

Tax ID family

Sac Dui Counseling Center 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.

• S.a.C. Dui Counseling Center, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1275164931
  NPD tax ID

Locations

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.

• Sonja Ann Collins, CADC

  • Professional Counselor
  • Chicago, IL
  • NPI 1982269007
  NPD Authorized official

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1275196917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 76TH ST STE 326",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201696",
            "telephone_number": "773-891-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 76TH ST STE 326",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201696",
            "telephone_number": "773-891-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.C. DUI COUNSELING CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-891-3653",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, MBA, CADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.A.C. Dui COUNSELING CENTER, LLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S.A.C. Dui COUNSELING CENTER, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.