🏥

Active NPI 1558035519 Organization (Entity Type 2)

Mindful Behavior

Counselor - Mental Health • Chicago, IL

About Mindful Behavior NPI 1558035519 Summary

Mindful Behavior is a verified healthcare organization specializing in Counselor - Mental Health operating in Chicago, IL. Located at 6815 W 63RD ST STE 7, this facility provides patient care and medical services under National Provider Identifier (NPI) 1558035519.

Administrative operations and authorized compliance are overseen by Elisa Lee (President).

The facility is associated with 4 linked healthcare practitioners providing clinical services. In addition to its main center, the organization maintains 2 secondary practice locations in the region.

Facility Location & Contact Primary Location

Facility Address

6815 W 63rd St Ste 7

Chicago, IL 606384066

Telephone 7083043010

Fax 7085755333

Authorized Official Information

Authorized Contact Name

Elisa Lee , LCPC

Title / Role

President

Official Telephone

7083043010

Facility Classifications & Specialties

Counselor - Mental Health Primary Taxonomy

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

4 Linked

Roy Carney , LCPC NPI 1134880701

Counselor - Mental Health

Oak Park, IL

View Practitioner Profile →

Dr. Teri Hull , PhD NPI 1194051425

Psychologist - Clinical

Oak Park, IL

View Practitioner Profile →

Elisa Lee , LCPC, NBCC NPI 1215384292

Counselor - Professional

Chicago, IL

View Practitioner Profile →

Deisy Rodriguez , LCPC NPI 1992353510

Counselor - Mental Health

Berwyn, IL

View Practitioner Profile →

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

2 Branches

137 N Oak Park Ave Ste 212

Oak Park, IL 603011340

Phone: 7083043010

3245 Grove Ave Ste 208

Berwyn, IL 604023476

Phone: 7083043010

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events

📍

Updated Practice Location February 01, 2023

Registered at 6815 W 63RD ST STE 7, CHICAGO, IL 606384066 (Tel: 7083043010)

✅

NPI Profile Active August 04, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2021

Registered at 5350 S SPRINGFIELD AVE, CHICAGO, IL 606323729 (Tel: 7735697082)

📍

Updated Business Mailing Address August 04, 2021

Registered at PO BOX 388556, CHICAGO, IL 606388556 (Tel: 7735697082)

🏛️

Organization / Clinic Name Updated August 04, 2021

Operating as MINDFUL BEHAVIOR

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Counselor

🟢

Initial NPI Registration & Enumeration August 04, 2021

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

No reviews submitted yet for Mindful Behavior. Be the first to share your experience with this healthcare facility!

Have you visited Mindful Behavior? Sign in to your TRUE-MEDINFO account to submit a rating and review.

NPI Organization Metadata

NPI Number: 1558035519

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: August 04, 2021

Last Update: March 27, 2023

Update or Correct Listing

Mailing Address

Po Box 388556

Chicago, IL 606388556

Phone: 7083043010

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.