Mindful Behavior

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL BEHAVIOR

Practice address

6815 W 63Rd St Ste 7
Chicago, IL 60638-4066

Phone

(708) 304-3010

Fax

(708) 575-5333

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Elisa J Lee, LCPCNPI 1215384292

Title

President

Phone

(708) 304-3010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Elisa Julia Lee, LCPC, NBCC

  • Professional Counselor
  • Chicago, IL
  • NPI 1215384292

  Mental Health

  NPD Authorized official
• Ralph Menezes, M.D.

  • Psychiatry Physician
  • Forest Park, IL
  • NPI 1568417996
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1558035519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388556",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388556",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W 63RD ST STE 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384066",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 N Oak Park Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011340",
            "country_code": "US",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3245 Grove Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023476",
            "country_code": "US",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-304-3010",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind to Mind Wellness, PLLC
• Mind-Body Pediatric Psychiatry
• Mind'S Eye Psychotherapy and Consultation, PLLC
• Mindcore Therapeutics
• Eric Minde, M.D.
• Mindful Behavior LLC
• Mindful Behavior LLC
• Mindful Brothers Collective Foundation
• Mindful Heart Counseling, PLLC
• Mindful Journeys Behavioral Health, LLC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, 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 Mar 27, 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.