Active NPI
Safe Space Mental Health LLC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1336803097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SAFE SPACE MENTAL HEALTH LLC
- Practice address
- 7321 S South Shore Dr Apt 11B
Chicago, IL 60649-3579 - Phone
- (312) 451-4897
- NPI assigned
- Oct 28, 2021
- 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
- Ms. Cynthia Chambers, LCPC
- Title
- Owner and Psychotherapist
- Phone
- (708) 634-6709
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 | Primary |
Addresses
Primary practice location
7321 S South Shore Dr Apt 11B
Chicago, IL 60649-3579
Mailing address
3231 S Halsted St # 227
Chicago, IL 60608-6613
Phone (708) 634-6709
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.safespacementalhealth.com |
National Provider Directory
National Provider DirectoryLocations
3231 S Halsted St
#227
Chicago, IL 60608
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636848000000",
"number": "1336803097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 S HALSTED ST # 227",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606086613",
"telephone_number": "708-634-6709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7321 S SOUTH SHORE DR APT 11B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493579",
"telephone_number": "312-451-4897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE SPACE MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-28",
"last_updated": "2021-11-14",
"certification_date": "2021-11-14",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
"authorized_official_telephone_number": "708-634-6709",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.safespacementalhealth.com",
"affiliation": "N",
"endpointDescription": "Business website",
"address_1": "3231 S Halsted St # 227",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606086613",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Nov 14, 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.