COMMUNITY COUNSELING CENTERS OF CHICAGO
NPI 1750405809
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

NPI Status: Active since March 16, 2007

Contact Information

2525 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 506-2525
Fax: (773) 765-0622

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About COMMUNITY COUNSELING CENTERS OF CHICAGO

This page provides the complete NPI Profile along with additional information for Community Counseling Centers Of Chicago, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1750405809 assigned on March 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 04029 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Anthony A Kopera Phd (President & C.e.o.)

NPI
1750405809
Provider Name
COMMUNITY COUNSELING CENTERS OF CHICAGO
Entity Type
Organization
Location Address
2525 W PETERSON AVE CHICAGO, IL 60659
Location Phone
(773) 506-2525
Location Fax
(773) 765-0622
Mailing Address
4740 N CLARK ST CHICAGO, IL 60640
Mailing Phone
(773) 769-0205
Mailing Fax
(773) 765-0622
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2007
Last Update Date
04-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
04029
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANTHONY A KOPERA PHD

Authorized Official Title
PRESIDENT & C.E.O.
Authorized Official Phone
(773) 769-0205

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========018MEDICAID (05)IL 
322860MEDICARE ID-TYPE UNSPECIFIED (04)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750405809
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100801080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 0 + 1 + 0 + 8 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1750405809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952325250 SUSAN KOGAN
Individual
Counselor (Mental Health)2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 765-0594
1659389047MR. DAVID JOSEPH KINZER M.A. LCPC
Individual
Counselor (Professional)2525 W PETERSON AVE SUITE 12
CHICAGO, IL 60659
(773) 765-0604
1790893113 PAUL ANDREAS SHAHBAZ LCSW
Individual
Social Worker (Clinical)2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 506-2525
1932209327MS. LISA STANTON LCSW
Individual
Social Worker (Clinical)2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 765-0596
1609909233 LISA WYN JONES LCSW
Individual
Social Worker (Clinical)2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 506-2525
1407026073MS. YVETTE SUSAN ARNOUX LCPC
Individual
Counselor (Mental Health)2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 765-0615
1891928073 NORMAN D ASHER MSW, LCSW
Individual
Social Worker (Clinical)2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 765-0593
1376841262COMMUNITY COUNSELING CENTERS OF CHICAGO
Organization
Community/Behavioral Health2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 506-0707
1285812925 JAIME ESQUIVEL LCSW
Individual
Counselor2525 W PETERSON AVE C4
CHICAGO, IL 60659
(773) 506-2525
1154731651 ERIN CROWE
Individual
Community/Behavioral Health2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 765-2525
1336542406 TOLLY BASEMAN LCPC
Individual
Counselor2525 W PETERSON AVE
CHICAGO, IL 60659
(773) 765-0618
1306243498 JOANNA ZAKHEM LCPC
Individual
Counselor (Professional)2525 W PETERSON AVE
CHICAGO, IL 60659
(774) 506-2525
1093175762 ELIZABETH HEIDEMAN LCSW
Individual
Social Worker (Clinical)2525 W PETERSON AVE
CHICAGO, IL 60659
(872) 235-0880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750405809, enumerated in the NPI registry as an "organization" on March 16, 2007

The provider is located at 2525 W Peterson Ave Chicago, Il 60659 and the phone number is (773) 506-2525

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.