Aspire-Center for Positive Change

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ASPIRE-CENTER FOR POSITIVE CHANGE

Practice address

24735 W Eames St Unit 11
Channahon, IL 60410-8712

Phone

(815) 290-5260

Fax

(815) 255-2804

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy J Nelson, LCSWNPI 1548701758

Title

Co-Owner

Phone

(815) 353-3339

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Jayne Nelson, LCSW

  • Social Worker
  • Minooka, IL
  • NPI 1548701758
  NPD Authorized official
• Courtney Doyle-O'Brien, LCPC

  • Professional Counselor
  • Channahon, IL
  • NPI 1801212394
  NPD (past)

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1942811989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24735 W EAMES ST UNIT 11",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108712",
            "telephone_number": "815-290-5260",
            "fax_number": "815-255-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24735 W EAMES ST UNIT 11",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108712",
            "telephone_number": "815-290-5260",
            "fax_number": "815-255-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE-CENTER FOR POSITIVE CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "815-353-3339",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Anderson
• Lacey Jo Anderson
• Arrow Physicians Group, S.C.
• Ascending Connections Behavioral Services
• Aspire Therapy Center
• Baar Home Medical Equipment, Inc.
• Bethany Bachmann, RBT
• Diana Becerra, RN
• Kristine Bermingham, MSW, LCSW
• Nikolas M Bertucci

• Mental Health Clinic/Center (Including Community Mental Health Center) in Channahon, IL
• Providers in Channahon, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.