Organization Active NPI

Transforming, Educating, & Empowering Children and Humanity

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1689036519
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
TRANSFORMING, EDUCATING, & EMPOWERING CHILDREN AND HUMANITY
Practice address
1750 W 103Rd St
Chicago, IL 60643-2821
Phone
(224) 406-3798
Fax
(773) 779-0125
NPI assigned
Mar 21, 2016
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Dr. Karen Rochelle White, CADC, NCRS, RCTNPI 1487104204
Title
Ceo
Phone
(224) 406-3798

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1750 W 103Rd St
Chicago, IL 60643-2821

Mailing address

1750 W 103Rd St
Chicago, IL 60643-2821
Phone (224) 406-3798

Other identifiers 1

IdentifierTypeStateIssuer
1689036519MedicaidIL

National Provider Directory

National Provider Directory

Locations

1750 W 103rd St
Chicago, IL 60643
Phone (224) 406-3798

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.

NPI Registry JSON

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1689036519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432821",
            "telephone_number": "224-406-3798",
            "fax_number": "773-779-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W 103RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432821",
            "telephone_number": "224-406-3798",
            "fax_number": "773-779-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMING, EDUCATING, & EMPOWERING CHILDREN AND HUMANITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-21",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-406-3798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CADC, NCRS, RCT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689036519",
            "state": "IL"
        }
    ],
    "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 Sep 1, 2020; 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.