NPIMap

Organization Active NPI

Community Counseling Centers of Chicago

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1376841262
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149014521 Issued in IL
Legal business name
COMMUNITY COUNSELING CENTERS OF CHICAGO
Practice address
2525 W Peterson Ave
Chicago, IL 60659-4108
Phone
(773) 506-0707
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Anthony A Kopera
Title
Ceo
Phone
(773) 769-0205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149014521 IL Primary

Addresses

Primary practice location

2525 W Peterson Ave
Chicago, IL 60659-4108

Mailing address

2525 W Peterson Ave
Chicago, IL 60659-4108

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Centers of Chicago21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

2525 W Peterson Ave
Chicago, IL 60659
Phone (773) 506-2525

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1376841262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594108",
            "telephone_number": "773-506-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CENTERS OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "KOPERA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-769-0205",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149014521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 2, 2011; 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.