NPIMap

Organization Active NPI

Northside Center for Relationship Counseling

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1316747538
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Practice address
5100 N Ravenswood Ave Ste 208
Chicago, IL 60640-1710
Phone
(773) 791-0469
NPI assigned
Mar 17, 2025
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHSIDE CENTER FOR RELATIONSHIP COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Joshua Smith Hetherington, LMFT, LCPCNPI 1114053766
Title
Ceo
Phone
(773) 791-0469

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

5100 N Ravenswood Ave Ste 208
Chicago, IL 60640-1710

Mailing address

5100 N Ravenswood Ave Ste 208
Chicago, IL 60640-1710
Phone (773) 791-0469

Other names 1

  • CCRC Behavioral Health Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Northside Center for Relationship Counseling2 organizations share this tax ID, including this one
Part of
Northside Center for Relationship Counseling

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5100 N Ravenswood Ave
Ste 208
Chicago, IL 60640
Phone (773) 791-0469

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1316747538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401710",
            "telephone_number": "773-791-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N RAVENSWOOD AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401710",
            "telephone_number": "773-791-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "HETHERINGTON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-791-0469",
        "authorized_official_credential": "LMFT, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCRC Behavioral Health Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CCRC Behavioral Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 21, 2025; 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.