Proviso-Leyden Council for Community Action Inc
NPI 1134553076 · Methadone Clinic · Maywood, IL
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proviso-Leyden Council for Community Action Inc is a Methadone Clinic organization in Maywood, IL (NPI 1134553076).
Provider details
- NPI number
- 1134553076
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beverly Smith, Coo(708) 236-5170
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Hospital Units
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
268 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| 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 TreatmG2067 | 268 | $254 |
Typical Medicare-allowed amounts for these services range $254–$254 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Plcca
- Doing business as
- Plcca
Registry dates
- Enumerated
- 2013-08-28
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Frequently asked questions
- What is Proviso-Leyden Council for Community Action Inc's NPI number?
- Proviso-Leyden Council for Community Action Inc's National Provider Identifier (NPI) is 1134553076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Proviso-Leyden Council for Community Action Inc?
- Proviso-Leyden Council for Community Action Inc is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Proviso-Leyden Council for Community Action Inc located?
- Proviso-Leyden Council for Community Action Inc's practice location on file with NPPES is 411 Madison St, Maywood, IL 60153-2136.
- What is Proviso-Leyden Council for Community Action Inc's phone number?
- The practice phone number listed in the NPPES registry for Proviso-Leyden Council for Community Action Inc is (708) 236-5042.
- Does Proviso-Leyden Council for Community Action Inc accept Medicare?
- Proviso-Leyden Council for Community Action Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Proviso-Leyden Council for Community Action Inc?
- The authorized official listed on Proviso-Leyden Council for Community Action Inc's NPPES record is Beverly Smith, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Proviso-Leyden Council for Community Action Inc's NPI active?
- Yes — Proviso-Leyden Council for Community Action Inc's NPI (1134553076) is active in the NPPES registry as of the last update on 2026-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.