NPIMap

Organization Active NPI

Safer Foundation

  • Counselor
  • Chicago, IL
National Provider Identifier
1801309752
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180.002611 Issued in IL
Legal business name
SAFER FOUNDATION
Practice address
2839 W Fillmore St
Chicago, IL 60612-4051
Phone
(773) 638-8491
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Victor Dickson
Title
President and Ceo
Phone
(312) 922-4767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 180.002611 IL Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 180.002611 IL

Addresses

Primary practice location

2839 W Fillmore St
Chicago, IL 60612-4051

Mailing address

571 W Jackson Blvd
Chicago, IL 60661-5701

National Provider Directory

National Provider Directory
Tax ID family
Safer Foundation8 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.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1801309752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 W FILLMORE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124051",
            "telephone_number": "773-638-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "312-922-4767"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.002611",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180.002611",
            "primary": false
        }
    ],
    "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 Nov 14, 2017; 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.