Active NPI
Eating Recovery Center
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 201543752
- Legal business name
- EATING RECOVERY CENTER
- Practice address
- 150 E Huron St
Suite 1200
Chicago, IL 60611-2999 - Phone
- (312) 964-4617
- NPI assigned
- Dec 1, 2016
- Last updated
- Dec 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Colleen Mary Watson, LCPC
- Title
- Primary Therapist II
- Phone
- (312) 964-4617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 201543752 | IL | Primary |
Addresses
Primary practice location
150 E Huron St
Suite 1200
Chicago, IL 60611-2999
Mailing address
2300 N Lincoln Park W
Unit 1212
Chicago, IL 60614-3456
Phone (630) 649-8772
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2104012 | Eating Recovery Center of Chicago | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
150 E Huron St
Ste 1200
Chicago, IL 60611
Phone (312) 280-0890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Wheaton, IL
- NPI 1760992622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1659814192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N LINCOLN PARK W",
"address_2": "UNIT 1212",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143456",
"telephone_number": "630-649-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E HURON ST",
"address_2": "SUITE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112999",
"telephone_number": "312-964-4617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EATING RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-01",
"last_updated": "2016-12-01",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "PRIMARY THERAPIST II",
"authorized_official_telephone_number": "312-964-4617",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "IL",
"license": "201543752",
"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 Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.