Active NPI
Grounds for Healing, LLC
- Community/Behavioral Health Agency
- Chicago, IL
National Provider Identifier
1942906128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GROUNDS FOR HEALING, LLC
- Practice address
- 11457 S Church St
Chicago, IL 60643-4235 - Phone
- (773) 726-7505
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tameka L. Watson, LCSW
- Title
- Owner/Ceo
- Phone
- (773) 726-7505
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
11457 S Church St
Chicago, IL 60643-4235
Mailing address
1805 W Monterey Ave Unit 43070
Chicago, IL 60643-4234
Phone (773) 726-7505
National Provider Directory
National Provider DirectoryLocations
1805 W Monterey Ave
Unit 43070
Chicago, IL 60643
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1114346277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675123200000",
"number": "1942906128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 W MONTEREY AVE UNIT 43070",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434234",
"telephone_number": "773-726-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11457 S CHURCH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434235",
"telephone_number": "773-726-7505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROUNDS FOR HEALING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "TAMEKA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "773-726-7505",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 31, 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.