Active NPI
Le Penseur Youth & Family Services, Inc
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1821536236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- A82510003A
- Legal business name
- LE PENSEUR YOUTH & FAMILY SERVICES, INC
- Practice address
- 1464 W 115TH St
Chicago, IL 60643-4465 - Phone
- (773) 778-4980
- Fax
- (773) 778-4988
- NPI assigned
- Feb 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Reginald Summerrise
- Title
- Ceo/President
- Phone
- (773) 375-8637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | A82510003A | IL | Primary |
Addresses
Primary practice location
1464 W 115TH St
Chicago, IL 60643-4465
Mailing address
8550 S Manistee Ave
Chicago, IL 60617-3152
Phone (773) 375-8637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C/A82510003A | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Le Penseur Youth Family Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Chicago, IL
- NPI 1093115883
Locations
8550 S Manistee Ave
Chicago, IL 60617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486339200000",
"number": "1821536236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 S MANISTEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606173152",
"telephone_number": "773-375-8637",
"fax_number": "773-375-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1464 W 115TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434465",
"telephone_number": "773-778-4980",
"fax_number": "773-778-4988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE PENSEUR YOUTH & FAMILY SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A",
"authorized_official_last_name": "SUMMERRISE",
"authorized_official_first_name": "REGINALD",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "773-375-8637",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "A82510003A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C/A82510003A",
"state": "IL"
}
],
"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 Feb 6, 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.