NPIMap

Organization Active NPI

St. Coletta's of Illinois

  • Adult Mental Health Clinic/Center
  • Tinley Park, IL
National Provider Identifier
1679279343
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ST. COLETTA'S OF ILLINOIS
Practice address
18350 Crossing Dr
Tinley Park, IL 60487-6294
Phone
(708) 342-5200
NPI assigned
Feb 6, 2023
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Heather Benedick
Title
President & Ceo
Phone
(708) 342-5200

Specialties & licenses 2

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

Addresses

Primary practice location

18350 Crossing Dr
Tinley Park, IL 60487-6294

Mailing address

18350 Crossing Dr
Tinley Park, IL 60487-6294
Phone (708) 342-5200

National Provider Directory

National Provider Directory
Tax ID family
St Coletta's of Illinois4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1679279343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 CROSSING DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876294",
            "telephone_number": "708-342-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 CROSSING DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876294",
            "telephone_number": "708-342-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. COLETTA'S OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "BENEDICK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "708-342-5200"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.