Active NPI
Empowering Beahvioral Health and Consulting Services
- Community/Behavioral Health Agency
- Homewood, IL
National Provider Identifier
1861312910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EMPOWERING BEAHVIORAL HEALTH AND CONSULTING SERVICES
- Practice address
- 935 175TH St FL 3
Homewood, IL 60430-2073 - Phone
- (773) 457-1990
- NPI assigned
- Jul 20, 2026
- 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
- Domynique Jazmen Smith, LCSW
- Title
- Ceo
- Phone
- (773) 457-1990
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
935 175TH St FL 3
Homewood, IL 60430-2073
Mailing address
935 175TH St FL 3
Homewood, IL 60430-2073
Phone (773) 457-1990
National Provider Directory
National Provider DirectoryLocations
935 175th St
Fl 3
Homewood, IL 60430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1861312910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 175TH ST FL 3",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302073",
"telephone_number": "773-457-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 175TH ST FL 3",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302073",
"telephone_number": "773-457-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERING BEAHVIORAL HEALTH AND CONSULTING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DOMYNIQUE JAZMEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-457-1990",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, IL
- Kimyetta Ellis
- Farrah R Ellison-Moore, LPC, NCC
- Dori Lee Elmore
- Dariel L Embry-Rodgers, LPC, NCC
- Emporium Beauty Spa LLC
- Endodontic & Periodontic Associates, LTD
- Epic Commiunity Development Center, Incorported
- Equal Steps Therapy Services, P. C.
- Thomas Walton Erickson, DDS
- Ma Aurora Emma Altuna Estrada, AGAC-NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.