Organization Active NPI

Elevate Mind & Body Wellness Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Matteson, IL
National Provider Identifier
1396674214
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELEVATE MIND & BODY WELLNESS CLINIC LLC
Practice address
4801 Southwick Dr Ste 630-H
Matteson, IL 60443-2254
Phone
(708) 793-3430
NPI assigned
May 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2026

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

Authorized official

Name
Kara Taliaferro, NP
Title
Owner
Phone
(708) 269-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4801 Southwick Dr Ste 630-H
Matteson, IL 60443-2254

Mailing address

4801 Southwick Dr Ste 630-H
Matteson, IL 60443-2254

National Provider Directory

National Provider Directory

Locations

4801 Southwick Dr
Ste 630H
Matteson, IL 60443
Phone (708) 793-3430

NPI Registry JSON

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

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1396674214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR STE 630-H",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR STE 630-H",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432254",
            "telephone_number": "708-793-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MIND & BODY WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "TALIAFERRO",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-269-3121",
        "authorized_official_credential": "NP"
    },
    "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": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.