Organization Active NPI

Drexel Counseling Services, Inc.

  • Methadone Clinic
  • Chicago, IL
National Provider Identifier
1679846919
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
DREXEL COUNSELING SERVICES, INC.
Practice address
936 E 93Rd St
Chicago, IL 60619-7814
Phone
(773) 550-1696
Fax
(773) 336-5545
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Kathy Hardin Earl, MHS, CADC, CODP II
Title
Executive Director
Phone
(773) 550-1696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C/A42070002A IL
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

936 E 93Rd St
Chicago, IL 60619-7814

Mailing address

1115 S Plymouth CT Apt 501
Chicago, IL 60605-2032
Phone (773) 550-1696

Other identifiers 1

IdentifierTypeStateIssuer
C/A42070002AMedicaidIL

Other names 1

  • Hardin House, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Opioid treatment program
Medicare-enrolled since Oct 23, 2025

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528003121 IL Part B Supplier - Opioid Treatment Program (Otp) 1557782513 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Drexel Counseling Services Inc2 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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1679846919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S PLYMOUTH CT APT 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052032",
            "telephone_number": "773-550-1696",
            "fax_number": "312-753-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197814",
            "telephone_number": "773-550-1696",
            "fax_number": "773-336-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXEL COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "HARDIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-550-1696",
        "authorized_official_credential": "MHS, CADC, CODP II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "C/A42070002A",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C/A42070002A",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hardin House, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hardin House, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.