PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC (NPI# 1235534298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235534298 |
| Entity Type | Organization |
| Organization Name | PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC |
| Other Organization Name | PILSEN WELLNESS CENTER INC. |
| Practice Address |
3232 W 55th St Chicago IL 60632-2638 |
| Mailing Address |
2319 S Damen Ave Chicago IL 60608-4209 |
| Practice Telephone | 7735790832 |
| Mailing Telephone | 7735790832 |
| Mailing Fax Number | 7735790762 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |
| Authorized Official Name | DR. FRANCISCO CISNEROS (PRESIDENT/CEO) |
| Authorized Official Telephone | 7735790832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Pilsen Wellness Center Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821597063 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 2259 S Damen Ave, Chicago, IL 60608-4232 | 2018-02-02 |
| 1528463569 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 500 E 47th St, Chicago, IL 60653-4208 | 2014-11-04 |
| 1659781029 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 2230 E 71st St, Chicago, IL 60649-2522 | 2014-05-06 |
| 1699953711 | Pilsen-little Village Community Mental Health Center, Inc | Community/Behavioral Health | 1633 N 37th Ave, Melrose Park, IL 60160-1723 | 2008-01-31 |
| 1609054725 | Pilsen-little Village Community Mental Health Center, Inc | Clinic/Center | 1546 N Mannheim Rd, Stone Park, IL 60165-1117 | 2008-01-31 |
| Street Address |
3232 W 55TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437939 | Augusto N Pareja | Family Medicine | 3232 W 55th St, Chicago, IL 60632-2638 | 2005-12-07 |
| 1568839090 | Pilsen-little Village Community Mental Health Center, Inc. | Clinic/Center | 3232 W 55th St, Chicago, IL 60632-2638 | 2015-09-01 |
| 1821254475 | Wesley R Harmston | Family Medicine | 3232 W 55th St, Chicago, IL 60632-2638 | 2008-08-04 |
| 1033392535 | Augusto N. Pareja Md Sc | Family Medicine | 3232 W 55th St, Chicago, IL 60632-2638 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
| 1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
| 1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
| 1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
| 1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
| 1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
| 1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
| Find all providers in zip 60632 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 1164030557 | Acorn & Oak Counseling Pllc | Community/Behavioral Health | 1333 W Devon Ave Ste 319, Chicago, IL 60660-1329 | 2020-07-21 |
| 1144848300 | Marathon Mindset Counseling LLC | Community/Behavioral Health | 1650 W Adams St Apt 304, Chicago, IL 60612-3209 | 2020-07-13 |
| 1417586678 | Invisions Behavioral Health LLC | Community/Behavioral Health | 8211 S Woodlawn Ave, Chicago, IL 60619-4519 | 2020-04-08 |
| 1871124784 | Nurture Therapy, LLC | Community/Behavioral Health | 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 | 2020-01-29 |
| 1962032086 | Bucktown Therapy | Community/Behavioral Health | 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 | 2020-01-16 |
| 1770121436 | Guided Expressions LLC | Community/Behavioral Health | 6640 S University Ave Apt 2, Chicago, IL 60637-4320 | 2019-12-12 |
| 1063058279 | Y Not Families | Community/Behavioral Health | 6427 S Ashland Ave, Chicago, IL 60636-2716 | 2019-11-22 |
| 1073156196 | Black Tie Therapy | Community/Behavioral Health | 2232 N Wayne Ave Apt 1f, Chicago, IL 60614-8937 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.