NPIMap

Organization Active NPI

Lutheran Child and Family Service of Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bourbonnais, IL
National Provider Identifier
1902203540
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS
Practice address
581 William Latham Dr Ste 102
Bourbonnais, IL 60914-2437
Phone
(815) 929-1970
NPI assigned
Nov 25, 2014
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
James Allen Webster
Title
System Support Specialist
Phone
(708) 907-1583

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Foster Care Agency 253J00000X 012998-11 IL
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

581 William Latham Dr Ste 102
Bourbonnais, IL 60914-2437

Mailing address

1 Oakbrook Ter Ste 501
Oakbrook Terrace, IL 60181-4479
Phone (708) 771-7180

Other identifiers 1

IdentifierTypeStateIssuer
2B05-CHR-025MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Services of Illinois15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

150 N Schuyler Ave
Ste 102
Kankakee, IL 60901

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1902203540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAKBROOK TER STE 501",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814479",
            "telephone_number": "708-771-7180",
            "fax_number": "708-221-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 WILLIAM LATHAM DR STE 102",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142437",
            "telephone_number": "815-929-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "SYSTEM SUPPORT SPECIALIST",
        "authorized_official_telephone_number": "708-907-1583"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "012998-11",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05-CHR-025",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.