Chicago Wellness and Support LLC
NPI 1215764873 · Adolescent and Children Mental Health Clinic/Center · Chicago, IL
Chicago Wellness and Support LLC is a Adolescent and Children Mental Health Clinic/Center organization in Chicago, IL (NPI 1215764873).
Provider details
- NPI number
- 1215764873
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Blake Walker, Owner(480) 619-0949
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-09-24
- Certified
- 2024-09-24
Frequently asked questions
- What is Chicago Wellness and Support LLC's NPI number?
- Chicago Wellness and Support LLC's National Provider Identifier (NPI) is 1215764873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicago Wellness and Support LLC?
- Chicago Wellness and Support LLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Chicago Wellness and Support LLC located?
- Chicago Wellness and Support LLC's practice location on file with NPPES is 2833 E 79th St, Chicago, IL 60649-5213.
- What is Chicago Wellness and Support LLC's phone number?
- The practice phone number listed in the NPPES registry for Chicago Wellness and Support LLC is (773) 873-7335.
- Who is the authorized official for Chicago Wellness and Support LLC?
- The authorized official listed on Chicago Wellness and Support LLC's NPPES record is Blake Walker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicago Wellness and Support LLC's NPI active?
- Yes — Chicago Wellness and Support LLC's NPI (1215764873) is active in the NPPES registry as of the last update on 2024-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.