Organization Active NPI

Lily Center Chicago PLLC

Doing business as Lily

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1902418650
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LILY CENTER CHICAGO PLLC
Doing business as
Lily
Lily Counseling and Consulting
Practice address
561 W Diversey Pkwy Ste 210a
Chicago, IL 60614-1682
Phone
(630) 336-3113
NPI assigned
Aug 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Anna Bella McCormick, LCSWNPI 1083125033
Title
Owner
Phone
(630) 336-3113

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

561 W Diversey Pkwy Ste 210a
Chicago, IL 60614-1682

Mailing address

561 W Diversey Pkwy Ste 210a
Chicago, IL 60614-1682
Phone (630) 336-3113

Other identifiers 1

IdentifierTypeStateIssuer
09142576OtherILILLINOIS SECRETARY OF STATE

Other names 2

  • Lily Doing business as
  • Lily Counseling and Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

125 S Wacker Dr
Ste 300
Chicago, IL 60606
Phone (254) 760-0283

561 W Diversey Pkwy
Ste 210A
Chicago, IL 60614
Phone (630) 336-3113

Practitioners & affiliated clinicians

Practitioners 3

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": "1598054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1902418650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 210A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "630-336-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W DIVERSEY PKWY STE 210A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141682",
            "telephone_number": "630-336-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY CENTER CHICAGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-22",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "BELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-336-3113",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS SECRETARY OF STATE",
            "identifier": "09142576",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lily",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lily Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 31, 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.