Elevated Groups Counseling LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ELEVATED GROUPS COUNSELING LLC

Practice address

10436 Southwest Hwy
Chicago Ridge, IL 60415-2282

Phone

(708) 444-0304

NPI assigned

Nov 8, 2019

Organization subpart

No

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

Authorized official

Name

Mohammed Tarawneh

Title

Owner

Phone

(708) 647-3333

Specialties & licenses 3

Addresses

Tax ID family

Elevated Groups Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Elevated Groups Counseling LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago Ridge, IL
  • NPI 1528539095
  NPD tax ID
• Elevated Groups Counseling LLC

  • Multi-Specialty Clinic/Center
  • Chicago Ridge, IL
  • NPI 1700498763
  NPD tax ID

Locations

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1407491863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152282",
            "telephone_number": "708-444-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152282",
            "telephone_number": "708-444-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED GROUPS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "TARAWNEH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-647-3333"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Doody
• Tiaressa N Doyle, LCPC
• Dr. Raina & Associtates (Chicago Ridge), LTD
• DRS Wagner-Debre Associates SC
• Quinesha Edwards
• Elevated Groups Counseling LLC
• Elevated Groups Counseling LLC
• Jade Enriquez
• Ep Mann MD LTD
• Amy Elizabeth Erickson, APRN

• Multi-Specialty Clinic/Center in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.