Active NPI
Connected Living Counseling & Therapeutic Services, LLC
- Mental Health Counselor
- Homewood, IL
National Provider Identifier
1336611136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CONNECTED LIVING COUNSELING & THERAPEUTIC SERVICES, LLC
- Practice address
- 18220 Harwood Ave Ste 5
Homewood, IL 60430-2151 - Phone
- (708) 395-6083
- NPI assigned
- Dec 19, 2018
- Last updated
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shoshanah Baht Yehudah, PH.D.
- Title
- Owner, LCPC
- Phone
- (708) 395-6083
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
18220 Harwood Ave Ste 5
Homewood, IL 60430-2151
Mailing address
18220 Harwood Ave Ste 5
Homewood, IL 60430-2151
Phone (708) 438-2532
National Provider Directory
National Provider Directory- Tax ID family
- Connected Living Counseling Therapeutic Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Homewood, IL
- NPI 1871310789
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Mental Health Counselor
- Homewood, IL
- NPI 1720136773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1336611136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18220 HARWOOD AVE STE 5",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302151",
"telephone_number": "708-438-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18220 HARWOOD AVE STE 5",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302151",
"telephone_number": "708-395-6083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTED LIVING COUNSELING & THERAPEUTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-19",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "YEHUDAH",
"authorized_official_first_name": "SHOSHANAH",
"authorized_official_middle_name": "BAHT",
"authorized_official_title_or_position": "OWNER, LCPC",
"authorized_official_telephone_number": "708-395-6083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
- Narestus S Coley
- Sandra A Colins, OTR/L
- Community Care Systems, Inc.
- Community Health Providers PLLC
- Jasclyn N Coney, M.A., M.DIV
- Connected Living Counseling & Therapeutic Services, LLC
- Conroy Orthopaedic & Sports Physical Therapy LTD
- Douglas E. Conroy, MS, PT,DPT
- Jessica Conte
- Continuum Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.