Faith Changes Behavior

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAITH CHANGES BEHAVIOR

Practice address

3833 Home Ave
Berwyn, IL 60402-3932

Phone

(708) 400-9601

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Francesca Cole-BarnesNPI 1902384282

Title

Ceo

Phone

(708) 400-9601

Specialties & licenses 1

Addresses

Practitioners 1

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

• Francesca Cole-Barnes

  • Professional Counselor
  • Chicago, IL
  • NPI 1902384282
  NPD Authorized official

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1780280685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 HOME AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 HOME AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023932",
            "telephone_number": "708-400-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH CHANGES BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "COLE-BARNES",
        "authorized_official_first_name": "FRANCESCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-400-9601"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.