Organization Active NPI

Another Chance Chicago

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1700642717
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANOTHER CHANCE CHICAGO
Practice address
4131 S State St
Chicago, IL 60609-2942
Phone
(773) 366-0055
NPI assigned
Feb 27, 2024
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Max L Knighten
Title
Owner
Phone
(773) 366-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4131 S State St
Chicago, IL 60609-2942

Mailing address

9704 S Lowe Ave
Chicago, IL 60628-1013

National Provider Directory

National Provider Directory
Tax ID family
Another Chance Chicago3 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

4131 S State St
Chicago, IL 60609
Phone (773) 366-0055

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1700642717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9704 S LOWE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606092942",
            "telephone_number": "773-366-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "KNIGHTEN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-366-0055"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 27, 2024; 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.