H14 Limited Liability Company

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

H14 LIMITED LIABILITY COMPANY

Doing business as

H14 Co.

Practice address

6825 167TH St
Tinley Park, IL 60477-2501

Phone

(708) 465-0150

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Malachi Kelly, LCPC

Title

Owner

Phone

(708) 465-0150

Specialties & licenses 2

Addresses

Other names 1

• H14 Co. Doing business as

Locations

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1417725276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W GRAND AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 167TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772501",
            "telephone_number": "708-465-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H14 LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MALACHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-465-0150",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H14 Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Gunderson
• Lillie Gurtisen, RN BSN
• Ismael Gutierrez, M.D.
• Vincent David Gutierrez, P.T.
• Alyssa Guzman, RBT
• Aida Haddad, OD
• Janelle Kala Hadley, MD, MPH
• Allyson Haggard
• Heather Hagland, DC
• Hahn Pediatric Group LLC

• Mental Health Counselor in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.