Anchored in Wellness Chicago LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ANCHORED IN WELLNESS CHICAGO LLC

Practice address

4807 S Ashland Ave Apt 203
Chicago, IL 60609-4242

Phone

(773) 430-9253

NPI assigned

Feb 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Antonio J. Wheeler Jr., LCSW, CADCNPI 1356980486

Title

Founder

Phone

(773) 430-9253

Specialties & licenses 1

Addresses

Other names 1

• Anchored In Wellness Chicago LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Wheeler

  • Clinical Social Worker
  • Moline, IL
  • NPI 1356980486
  NPD Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1336733153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 767",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623",
            "telephone_number": "773-430-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 S ASHLAND AVE APT 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094242",
            "telephone_number": "773-430-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED IN WELLNESS CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "773-430-9253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchored In Wellness Chicago LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bhargavi Devi Ancha, MD
• Anupama R Anchala, MD
• Jonathan J Ancheta, PHARMD
• Anchor Behavioral Centers Inc.
• Anchor Behavioral Centers, Inc.
• Anchored Therapy, LLC
• And Rise Women Inc.
• Anda Therapy Group, PLLC
• Araceli Andablo, M.D.
• Krupa Andalkar, P.A.-C

• All providers in Chicago, IL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.