Elevation Individual and Family Therapy PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLC

Practice address

4801 Southwick Dr Ste 600
Matteson, IL 60443-2281

Phone

(708) 300-8864

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Tionna Harris, MSW, LCSWNPI 1962035345

Title

Ceo

Phone

(708) 300-8864

Specialties & licenses 2

Addresses

Tax ID family

Elevation Individual and Family Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Elevation Individual and Family Therapy PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Homewood, IL
  • NPI 1770270597
  NPD tax ID

Locations

Practitioners 2

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

• Tionna Harris, LCSW

  • Clinical Social Worker
  • Schererville, IN
  • NPI 1962035345
  NPD Authorized official
• Christa P Younger Hill, LCSW

  • Clinical Social Worker
  • Matteson, IL
  • NPI 1891481362
  NPD

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1679308787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR STE 600",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432281",
            "telephone_number": "708-300-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR STE 600",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432281",
            "telephone_number": "708-300-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION INDIVIDUAL AND FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TIONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-300-8864",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cherry Evans, RN
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• Angela Mae Fernandez, PT, DPT

• Adult Mental Health Clinic/Center in Matteson, IL
• Providers in Matteson, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.