Organization Active NPI

Beshers Psychotherapy Services, LTD

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1326508763
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BESHERS PSYCHOTHERAPY SERVICES, LTD
Practice address
3701 N Ravenswood Ave Ste 303
Chicago, IL 60613-3878
Phone
(217) 390-4754
NPI assigned
Mar 21, 2019
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Maxwell N Beshers, LCSWNPI 1447619028
Title
Owner
Phone
(217) 390-4754

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3701 N Ravenswood Ave Ste 303
Chicago, IL 60613-3878

Mailing address

3701 N Ravenswood Ave Ste 303
Chicago, IL 60613-3878
Phone (217) 390-4754

Other names 1

  • none Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112001539 IL Part B Supplier - Clinic/Group Practice 0042642191 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

3701 N Ravenswood Ave
Ste 303
Chicago, IL 60613
Phone (217) 390-4754

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": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1326508763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N RAVENSWOOD AVE STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133878",
            "telephone_number": "217-390-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N RAVENSWOOD AVE STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133878",
            "telephone_number": "217-390-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESHERS PSYCHOTHERAPY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "BESHERS",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-390-4754",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "none",
            "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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.