CHICAGO YOUTH SERVICE BUREAU NPI 1841995644

NPI Information

  • NPI: 1841995644
  • Provider Name: CHICAGO YOUTH SERVICE BUREAU
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 1525 E 53RD ST
    CHICAGO, IL
    ZIP 60615
  • Phone: (773) 906-6690

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NPI Details

CHICAGO YOUTH SERVICE BUREAU is a counselor in Chicago, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CHICAGO YOUTH SERVICE BUREAU NPI is 1841995644. The provider is registered as an organization entity type.

The provider's business location address is:

1525 E 53RD ST
CHICAGO, IL
ZIP 60615-557
Phone: (773) 906-6690

The provider's authorized official is Jessica Petty .
The authorized official title is Lpc and has the following contact phone number (773) 906-6690.

The enumeration date for this NPI number is 4/3/2023 and was last updated on 6/19/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2101Y00000XCounselorYes

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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