NPIMap

Organization Active NPI

Envision Unlimited

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1992297535
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
18004 Issued in IL
Legal business name
ENVISION UNLIMITED
Practice address
4856 N Kruger Ave # 48
Chicago, IL 60630-1784
Phone
(773) 676-2132
NPI assigned
May 30, 2018
Organization subpart
Yes
Parent organization
ENVISION UNLIMITEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Natalie A Blider
Title
Dir. of Revenue Cycle MGMT
Phone
(773) 506-3014

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 18004 IL Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

4856 N Kruger Ave # 48
Chicago, IL 60630-1784

Mailing address

8 S Michigan Ave
Chicago, IL 60603-3357
Phone (773) 506-3201

Other names 1

  • Kruger House Other name

National Provider Directory

National Provider Directory
Tax ID family
Envision Unlimited Foster Care25 organizations share this tax ID, including this one
Part of
Envision Unlimited Foster Care

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1992297535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033357",
            "telephone_number": "773-506-3201",
            "fax_number": "773-769-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 N KRUGER AVE # 48",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301784",
            "telephone_number": "773-676-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION UNLIMITED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVISION UNLIMITED",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "BLIDER",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIR. OF REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "773-506-3014"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "18004",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kruger House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 21, 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.