Elevation Individual and Family Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELEVATION INDIVIDUAL AND FAMILY THERAPY, LLC

Practice address

19150 Kedzie Ave Ste 201
Homewood, IL 60430-4541

Phone

(708) 513-8170

NPI assigned

Jul 30, 2020

Organization subpart

No

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

Authorized official

Name

Tionna Harris, LCSWNPI 1962035345

Title

Owner

Phone

(708) 513-8170

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tionna Harris, LCSW

  • Clinical Social Worker
  • Schererville, IN
  • NPI 1962035345

  Mental Health

  NPD Authorized official
• Khara Jelynn Harper, LCSW

  • Clinical Social Worker
  • University Park, IL
  • NPI 1114688652
  NPD (past)

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1760091235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE STE 201",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304541",
            "telephone_number": "708-513-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE STE 201",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304541",
            "telephone_number": "708-513-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION INDIVIDUAL AND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TIONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-513-8170",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari C Egharevba, LMSW
• Ronald Louis Eldridge, D.D.S.
• Eldridge&Eldridge DDS PC
• Elevation Health and Wellness
• Elevation Individual and Family Therapy PLLC
• Natalie Elfner
• Elizabeth Fritz, LCSW, PLLC
• Dania Elkhadra
• Denia Ellis-Grayer
• Kimyetta Ellis

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.