Chance to Change Supportive Services of Illinois Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHANCE TO CHANGE SUPPORTIVE SERVICES OF ILLINOIS INC

Practice address

2501 Chatham Rd Ste R
Springfield, IL 62704-4188

Phone

(229) 809-0300

NPI assigned

Sep 15, 2026

Organization subpart

No

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

Authorized official

Name

Chestine Washington

Title

Owner

Phone

(229) 809-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1821909201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 HARBOR SIDE BLVD",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773563224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE R",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "229-809-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE TO CHANGE SUPPORTIVE SERVICES OF ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "CHESTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-809-0300"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umesh Chander Rao Chakunta, M.D.
• David M Chaky, M.D.
• Victor Chalfant, MD
• Elliott Challandes, LMT
• Jeffery R Chambers, NP
• Shirley Chaney
• Trupesh Chanpura, MD
• Naveen Srinivas Chapa, MD
• Emma J Chapman, RBT
• Melissa Charles

• Mental Health Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.