Organization Active NPI

Juan Contreras LCSW PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1699669200
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JUAN CONTRERAS LCSW PLLC
Practice address
4809 N Ravenswood Ave Unit 319a
Chicago, IL 60640-6648
Phone
(773) 217-8706
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Mr. Juan Luis Contreras, LCSWNPI 1730692682
Title
Owner/Clinical Social Work
Phone
(773) 217-8706

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Clinic/Center 261Q00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4809 N Ravenswood Ave Unit 319a
Chicago, IL 60640-6648

Mailing address

4809 N Ravenswood Ave Unit 319a
Chicago, IL 60640-6648

Other names 1

  • MINDFUL THERAPY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

4809 N Ravenswood Ave
Unit 319A
Chicago, IL 60640
Phone (312) 584-3355

Practitioners & affiliated clinicians

Practitioners 1

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": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1699669200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 319A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 319A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406648",
            "telephone_number": "773-217-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CONTRERAS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "773-217-8706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINDFUL THERAPY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MINDFUL THERAPY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 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.