Mental Health & Fitness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENTAL HEALTH & FITNESS CENTER

Practice address

17114 Magnolia Dr
Hazel Crest, IL 60429-1023

Phone

(415) 606-7426

NPI assigned

May 27, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Lisa D. Hines, HINESNPI 1508613290

Title

Ceo

Phone

(415) 606-7426

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa Hines, PHD., LCSW, LPHA

  • Clinical Social Worker
  • Hazel Crest, IL
  • NPI 1508613290
  NPD Authorized official

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1609707785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17114 MAGNOLIA DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291023",
            "telephone_number": "415-606-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17114 MAGNOLIA DR",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291023",
            "telephone_number": "415-606-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH & FITNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-606-7426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "HINES"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Faith McKenzie-Brown
• Medplus Medical Center SC
• Bhagvanji Meghpara, D.O.
• Shama R. Mehta, M.D.
• Kinsey Melendez
• Kirk Ellis Meyers, MD
• MFMM Inc
• Marjorie Ginou Michel, M.D.
• Midwest Anesthesia and Pain Specialists SC
• Midwest Diagnostics Inc

• Clinical Social Worker in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.