LYDIA HOME ASSOCIATION NPI 1316904956

NPI Information

  • NPI: 1316904956
  • Provider Name: LYDIA HOME ASSOCIATION
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 4300 W IRVING PARK RD #B
    COUNSELING CENTER
    CHICAGO, IL
    ZIP 60641
  • Phone: (773) 736-1447

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NPI Details

LYDIA HOME ASSOCIATION is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LYDIA HOME ASSOCIATION NPI is 1316904956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4300 W IRVING PARK RD #B
COUNSELING CENTER
CHICAGO, IL
ZIP 60641-825
Phone: (773) 736-1447
Fax: (773) 736-6970

The provider's authorized official is David K. Anderson .
The authorized official title is Executive Director and has the following contact phone number (773) 736-1447.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 2/25/2022.

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
1101YM0800XCounselorMental HealthILLINOISNo
2103TC0700XPsychologistClinicalILLINOISNo
3103TC1900XPsychologistCounselingILLINOISNo
4103TC2200XPsychologistClinical Child & AdolescentILLINOISNo
5251B00000XCase ManagementNo
6251S00000XCommunity/Behavioral HealthNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8261QM0850XClinic/CenterAdult Mental HealthYes

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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