NPIMap

Organization Active NPI

Cclakeview 3227

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1992011993
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
04040 Issued in IL
Legal business name
CCLAKEVIEW 3227
Practice address
3227 N Sheffield Ave
Chicago, IL 60657-2210
Phone
(773) 549-5886
Fax
(773) 549-3265
NPI assigned
Aug 27, 2010
Organization subpart
Yes
Parent organization
COUNSELING CENTER OF LAKE VIEWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Daniel P Kanter
Title
Controller
Phone
(773) 549-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 04040 IL Primary

Addresses

Primary practice location

3227 N Sheffield Ave
Chicago, IL 60657-2210

Mailing address

3225 N Sheffield Ave
Chicago, IL 60657-2210
Phone (773) 549-5886

National Provider Directory

National Provider Directory
Tax ID family
Counseling Center Lake View5 organizations share this tax ID, including this one
Part of
Counseling Center Lake View

Other organizations with this tax ID 4

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

Locations

3227 N Sheffield Ave
Chicago, IL 60657
Phone (773) 549-5886

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1992011993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572210",
            "telephone_number": "773-549-5886",
            "fax_number": "773-549-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 N SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572210",
            "telephone_number": "773-549-5886",
            "fax_number": "773-549-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCLAKEVIEW 3227",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNSELING CENTER OF LAKE VIEW",
        "enumeration_date": "2010-08-27",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-549-1102"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "04040",
            "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 Jun 29, 2011; 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.