Individual provider Active NPI

Anthony Grady

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1508314352
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
646 1/2 E 43Rd St
Chicago, IL 60653-2946
Phone
(219) 318-5572
NPI assigned
Sep 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149027150 IL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

646 1/2 E 43Rd St
Chicago, IL 60653-2946

Mailing address

646 1/2 E 43Rd St
Chicago, IL 60653-2946
Phone (219) 318-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321002832 IL Practitioner - Clinical Social Worker 2668994310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149027150ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Hearts and Healthy Minds Counseling LLC Mental Health CurrentSince Jan 13, 2025 Accepting new patients
Alderson Family Connections, PC Clinical Current Accepting new patients

Locations

646 E 43rd St
Chicago, IL 60653
Phone (219) 318-5572

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1508314352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 1/2 E 43RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532946",
            "telephone_number": "219-318-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 1/2 E 43RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532946",
            "telephone_number": "219-318-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027150",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.