Organization Active NPI

Total Enrichment Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1508580671
Registry record updated Oct 3, 2022
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
TOTAL ENRICHMENT SERVICES INC.
Practice address
5834 W Augusta Blvd
Chicago, IL 60651-2510
Phone
(773) 403-1162
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Melaneice Sercye, LMSW
Title
Director
Phone
(708) 368-5810

Specialties & licenses 1

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

Addresses

Primary practice location

5834 W Augusta Blvd
Chicago, IL 60651-2510

Mailing address

1119 N Mason Ave
Chicago, IL 60651-2507
Phone (773) 403-1162

National Provider Directory

National Provider Directory
Tax ID family
Total Enrichment Services Inc3 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.

Locations

5834 W Augusta Blvd
Chicago, IL 60651
Phone (773) 403-1162

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1508580671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 N MASON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512507",
            "telephone_number": "773-403-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5834 W AUGUSTA BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512510",
            "telephone_number": "773-403-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ENRICHMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "SERCYE",
        "authorized_official_first_name": "MELANEICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-368-5810",
        "authorized_official_credential": "LMSW"
    },
    "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.