NPIMap

Organization Active NPI

Of Sound Mind Mental Health Counseling, Life Coaching, and Consultatio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homewood, IL
National Provider Identifier
1659063261
Registry record updated May 23, 2023
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
OF SOUND MIND MENTAL HEALTH COUNSELING, LIFE COACHING, AND CONSULTATIO
Practice address
18650 Golfview Ave
Homewood, IL 60430-3608
Phone
(708) 930-0640
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Mrs. Cicely Powell, LCSWNPI 1568798759
Title
Ceo/Owner
Phone
(708) 930-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

18650 Golfview Ave
Homewood, IL 60430-3608

Mailing address

18650 Golfview Ave
Homewood, IL 60430-3608
Phone (708) 930-0640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1659063261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18650 GOLFVIEW AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303608",
            "telephone_number": "708-930-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 GOLFVIEW AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303608",
            "telephone_number": "708-930-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OF SOUND MIND MENTAL HEALTH COUNSELING, LIFE COACHING, AND CONSULTATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CICELY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "708-930-0640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.