Organization Active NPI

Center for Wisdom Healing, Inc

  • Adult Mental Health Clinic/Center
  • Oak Park, IL
National Provider Identifier
1366922502
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
149010022 Issued in IL
Legal business name
CENTER FOR WISDOM HEALING, INC
Practice address
1101 Lake St Ste 201
Oak Park, IL 60301-1046
Phone
(708) 257-2838
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Erin Leigh McCombs, LCSW
Title
Owner
Phone
(708) 257-2838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 149010022 IL Primary

Addresses

Primary practice location

1101 Lake St Ste 201
Oak Park, IL 60301-1046

Mailing address

1101 Lake St Ste 201
Oak Park, IL 60301-1046
Phone (708) 257-2838

National Provider Directory

National Provider Directory

Locations

1101 Lake St
Ste 201
Oak Park, IL 60301
Phone (708) 386-7974

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1366922502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST STE 201",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011046",
            "telephone_number": "708-257-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST STE 201",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011046",
            "telephone_number": "708-257-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WISDOM HEALING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-257-2838",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "149010022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.