Organization Active NPI

Elevated Groups Counseling LLC

  • Multi-Specialty Clinic/Center
  • Chicago Ridge, IL
National Provider Identifier
1700498763
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ELEVATED GROUPS COUNSELING LLC
Practice address
10436 Southwest Hwy Ste 5
Chicago Ridge, IL 60415-2284
Phone
(708) 671-8244
Fax
(708) 377-3960
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Mohammed Tarawneh, CADC
Title
Ceo
Phone
(708) 444-0304

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X

Addresses

Primary practice location

10436 Southwest Hwy Ste 5
Chicago Ridge, IL 60415-2284

Mailing address

10436 Southwest Hwy
Chicago Ridge, IL 60415-2282
Phone (708) 444-0304

National Provider Directory

National Provider Directory
Tax ID family
Elevated Groups Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10436 Southwest Hwy
Ste 5
Chicago Ridge, IL 60415
Phone (708) 440-0304

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1700498763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152282",
            "telephone_number": "708-444-0304",
            "fax_number": "708-377-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SOUTHWEST HWY STE 5",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152284",
            "telephone_number": "708-671-8244",
            "fax_number": "708-377-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED GROUPS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "TARAWNEH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-444-0304",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.