NEW AGE SERVICES CORPORATION NPI 1023286770

NPI Information

  • NPI: 1023286770
  • Provider Name: NEW AGE SERVICES CORPORATION
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • :
  • Address: 1330 S KOSTNER AVE APT 1
    CHICAGO, IL
    ZIP 60623
  • Phone: (773) 542-1150

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NPI Details

NEW AGE SERVICES CORPORATION is a methadone clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NEW AGE SERVICES CORPORATION NPI is 1023286770. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1330 S KOSTNER AVE APT 1
CHICAGO, IL
ZIP 60623-152
Phone: (773) 542-1150
Fax: (773) 542-1175

The provider's authorized official is Tonyia Patirce Winston .
The authorized official title is CHIEF EXECUTIVE OFFICERExecutive Officer and has the following contact phone number (773) 542-1150.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 2/15/2008 and was last updated on 9/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1276400000XRehabilitation, Substance Use Disorder UnitA-0579-0001-AILLINOISNo
2101YM0800XCounselorMental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)16008ILLINOISNo
4207QA0401XFamily MedicineAddiction MedicineNo
5103T00000XPsychologistNo
6261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA-0579-001AILLINOISNo
71041C0700XSocial WorkerClinicalNo
8101YP2500XCounselorProfessionalNo
92084A0401XPsychiatry & NeurologyAddiction MedicineNo
10251S00000XCommunity/Behavioral HealthA-0579-0001-AILLINOISNo
11101YA0400XCounselorAddiction (Substance Use Disorder)No
12104100000XSocial WorkerNo
13261QM2800XClinic/CenterMethadoneYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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