Active NPI
Elevated Groups Counseling LLC
- Multi-Specialty Clinic/Center
- Chicago Ridge, IL
National Provider Identifier
1700498763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Chicago Ridge, IL
- NPI 1407491863
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago Ridge, IL
- NPI 1528539095
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.