Nourishing Hope

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NOURISHING HOPE

Practice address

3945 N Sheridan Rd
Chicago, IL 60613-2936

Phone

(773) 525-1777

Fax

(773) 525-7310

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Filicky Hull, LCPCNPI 1962646984

Title

Chief Program Officer

Phone

(773) 525-1777

Specialties & licenses 2

Addresses

Other names 1

• Lakeview Pantry Former legal business name

Tax ID family

Lakeview Pantry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Nourishing Hope

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1477258655
  NPD tax ID

Locations

Practitioners 1

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

• Jennifer Filicky Hull, LCPC

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
  • NPI 1962646984
  NPD Authorized official

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1902593445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226214",
            "telephone_number": "773-525-1777",
            "fax_number": "773-525-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132936",
            "telephone_number": "773-525-1777",
            "fax_number": "773-525-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "HULL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "FILICKY",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "773-525-1777",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Pantry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nourished Roots Lactation LLC
• Nourished Transitions PLLC
• Nourishing Hope
• Nourishment Works PC
• Nasim Nourmohammadi, D.O
• Nova Care
• Nova Luna Behavior Health Services LLC
• Nova Occupational Therapy P.C

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.