Organization Active NPI

Universall Healing

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1790576544
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
UNIVERSALL HEALING
Practice address
1433 W Summerdale Ave Apt 2a
Chicago, IL 60640-2188
Phone
(312) 848-6582
NPI assigned
May 13, 2025
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Miss Callen Jones, LCPC, R-DMTNPI 1063273621
Title
Owner
Phone
(312) 848-6582

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1433 W Summerdale Ave Apt 2a
Chicago, IL 60640-2188

Mailing address

1433 W Summerdale Ave Apt 2a
Chicago, IL 60640-2188
Phone (312) 848-6582

National Provider Directory

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": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1790576544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W SUMMERDALE AVE APT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402188",
            "telephone_number": "312-848-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W SUMMERDALE AVE APT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402188",
            "telephone_number": "312-848-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSALL HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-848-6582",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCPC, R-DMT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult 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 May 13, 2025; 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.