NPIMap

Organization Active NPI

Community Counseling Centers of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1952418469
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
04029 Issued in IL
Legal business name
COMMUNITY COUNSELING CENTERS OF CHICAGO
Practice address
2545 W North Ave
Chicago, IL 60647-5296
Phone
(773) 769-0205
Fax
(773) 765-0801
NPI assigned
Aug 23, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Kelly Davis
Title
Revenue Cycle Manager
Phone
(872) 235-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04029 IL Primary

Addresses

Primary practice location

2545 W North Ave
Chicago, IL 60647-5296

Mailing address

2014 W Belle Plaine Ave
Chicago, IL 60618-3002
Phone (872) 235-0722

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling Centers of Chicago21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

2545 W North Ave
Chicago, IL 60647
Phone (773) 769-0205

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1952418469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 W BELLE PLAINE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183002",
            "telephone_number": "872-235-0722",
            "fax_number": "872-235-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475296",
            "telephone_number": "773-769-0205",
            "fax_number": "773-765-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CENTERS OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "872-235-0258"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04029",
            "primary": true
        }
    ],
    "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 Apr 8, 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.