Organization Active NPI

Le Penseur Youth & Family Services, Inc

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1821536236
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
A82510003A Issued in IL
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

Updated by the provider on Feb 6, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C/A82510003AMedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Le Penseur Youth Family Services Inc2 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

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.

Verify at the official NPI Registry.