Family Tree Interventions LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FAMILY TREE INTERVENTIONS LLC

Practice address

2220 E 68TH St
Chicago, IL 60649-6288

Phone

(773) 663-7773

NPI assigned

Dec 9, 2024

Last updated

Jun 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Iris JacksonNPI 1588164958

Title

Owner

Phone

(773) 663-7773

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Iris Yvonne Jackson

  • Professional Counselor
  • Chicago, IL
  • NPI 1588164958
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1699581272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606496288",
            "telephone_number": "773-663-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606496288",
            "telephone_number": "773-663-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-663-7773"
    },
    "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": []
}

• Family Resource Center (Adoption Center of Illinois)
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• Family Solutions of Illinois Inc
• Family Stress and Pain Clinic
• Family Stress Clinic
• Family Wellness Counseling LLC
• Family Wound Care Physicians Inc
• Familydoc Urgent Care LLC
• Familydok Urgent Care, LLC (FamilyDok Urgent Care)
• Annette Famulski

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Jun 6, 2025; 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.