Organization Active NPI

Step by Step the Spa for Your Mind

  • Clinical Social Worker
  • Evergreen Park, IL
National Provider Identifier
1891448726
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STEP BY STEP THE SPA FOR YOUR MIND
Practice address
9730 S. Western Avenue Suite 234
Evergreen Park, IL 60805
Phone
(708) 800-1138
Fax
(708) 481-9032
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Ms. Tamika M Hill, LCSWNPI 1447615281
Title
Owner
Phone
(708) 800-1138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9730 S. Western Avenue Suite 234
Evergreen Park, IL 60805

Mailing address

9730 S. Western Avenue Suite 234
Evergreen Park, IL 60805
Phone (708) 800-1138

Other practice location 1

288 Main St
Park Forest, IL 60466-2098
Phone (708) 829-4503

Other names 2

  • Step by Step The Spa for Your Mind PC Doing business as
  • Step by Step the spa for your mind llc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1891448726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 S. WESTERN AVENUE SUITE 234",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-800-1138",
            "fax_number": "708-481-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 S. WESTERN AVENUE SUITE 234",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-800-1138",
            "fax_number": "708-481-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Main St",
            "address_purpose": "LOCATION",
            "city": "Park Forest",
            "state": "IL",
            "postal_code": "604662098",
            "country_code": "US",
            "telephone_number": "708-829-4503",
            "fax_number": "949-798-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEP BY STEP THE SPA FOR YOUR MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2024-04-09",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-800-1138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step by Step The Spa for Your Mind PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Step by Step the spa for your mind llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.