NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Lake, IL
National Provider Identifier
1790452787
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Practice address
101 N Cedar Lake Rd
Round Lake, IL 60073-3202
Phone
(847) 546-5733
NPI assigned
Aug 26, 2021
Reactivated
Oct 17, 2023
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Ellen Tannenbaum, LCSWNPI 1184040032
Title
Director Behavioral Health
Phone
(773) 551-3067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

101 N Cedar Lake Rd
Round Lake, IL 60073-3202

Mailing address

721 N. Lasalle
5TH Floor
Chicago, IL 60654-3503
Phone (312) 655-7000

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities10 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1790452787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N. LASALLE",
            "address_2": "5TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543503",
            "telephone_number": "312-655-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N CEDAR LAKE RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733202",
            "telephone_number": "847-546-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "deactivation_date": "2023-05-12",
        "reactivation_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "773-551-3067",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.