CLS Comprehensive Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180007522 Issued in IL

Legal business name

CLS COMPREHENSIVE SERVICES, LLC

Practice address

19630 Governors Hwy Ste 8
Flossmoor, IL 60422-2079

Phone

(708) 481-4257

Fax

(708) 481-4254

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carla Latrise Stewart, NCC, LCPC, BCPCCNPI 1326275215

Title

Ceo/LCPC

Phone

(708) 481-4257

Specialties & licenses 8

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Latrise Stewart, NCC, LCPC, BCPCC

  • Professional Counselor
  • Flossmoor, IL
  • NPI 1326275215

  Mental Health

  NPD Authorized official
• Janise Sims

  • Counselor
  • Flossmoor, IL
  • NPI 1326698374
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1508154584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19624 GOVERNORS HWY",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222077",
            "telephone_number": "708-481-4257",
            "fax_number": "708-481-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19630 GOVERNORS HWY STE 8",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222079",
            "telephone_number": "708-481-4257",
            "fax_number": "708-481-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLS COMPREHENSIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "LATRISE",
        "authorized_official_title_or_position": "CEO/LCPC",
        "authorized_official_telephone_number": "708-481-4257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NCC, LCPC, BCPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.007522",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180007522",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "CS10850909P",
            "primary": false
        },
        {
            "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH BEHAVIORAL HEALTH",
            "identifier": "2236851",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY HEALTH NETWORK",
            "identifier": "426416",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Christie, C.R.N.A
• Thomas Tzi-Chorng Chung, MD
• Shane Clausell
• Shelena Clay
• Kenneth N Cline, M.D.
• Collabcore
• Melinda A Collins
• Sandra K. Collins, P.T.
• Sean Collins
• Community Wellness Group LLC

• All providers in Flossmoor, IL
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.