NPIMap

Organization Active NPI

Mindful Behavior LLC

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1780407189
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL BEHAVIOR LLC
Doing business as
Mindful Behavior LLC
Practice address
6815 W 63Rd St
Chicago, IL 60638-4048
Phone
(708) 304-3010
Fax
(708) 575-5333
NPI assigned
Nov 4, 2024
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Mrs. Elisa Julia Lee, LCPCNPI 1215384292
Title
Ceo/Owner
Phone
(708) 202-9151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

6815 W 63Rd St
Chicago, IL 60638-4048

Mailing address

PO Box 388556
Chicago, IL 60638-8556
Phone (708) 304-3010

Other practice location 1

5680 S Archer Ave Ste 2
Chicago, IL 60638-1677
Phone (708) 304-3010

Other practice location 2

5612 W 63rd St
Chicago, IL 60638-5580
Phone (708) 304-3010

Other names 1

  • MINDFUL BEHAVIOR LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.GOOGLE.COM Direct

National Provider Directory

National Provider Directory
Tax ID family
Mindful Behavior LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5680 S Archer Ave
Ste 2
Chicago, IL 60638

6815 W 63rd St
Chicago, IL 60638

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1780407189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388556",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388556",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606384048",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 S Archer Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606381677",
            "country_code": "US",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5612 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606385580",
            "country_code": "US",
            "telephone_number": "708-304-3010",
            "fax_number": "708-575-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "708-202-9151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.GOOGLE.COM",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Google WorkSpace",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6815 W 63rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606384048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MINDFUL BEHAVIOR LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2026; 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.