Organization · Type 2 NPI

Northside Center for Relationship Counseling

Adult Mental Health Clinic/Center · Chicago, IL

NPI number 1316747538 Active

Practice location

5100 N Ravenswood Ave Ste 208
Chicago, IL 60640-1710

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

4 other providers at this address

Other adult mental health clinic/center providers in Chicago

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NPI record

NPI: 1316747538
Entity type: Organization (Type 2)
Issued: Mar 17, 2025
Last updated: May 21, 2025
Status: Active
Subpart: Yes of Northside Center for Relationship Counseling

Other names

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CCRC Behavioral Health Clinic · other name
CCRC Behavioral Health Clinic · other name

Authorized official

Joshua Smith Hetherington, LMFT, LCPC
CEO
(773) 791-0469

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316747538

Northside Center for Relationship Counseling's National Provider Identifier is 1316747538, issued on Mar 17, 2025. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Chicago, IL. The record was last updated on May 21, 2025.