Proviso-Leyden Council for Community Action Inc
NPI 1306653613 · Adult Mental Health Clinic/Center · Maywood, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Proviso-Leyden Council for Community Action Inc is a Adult Mental Health Clinic/Center organization in Maywood, IL (NPI 1306653613).
Provider details
- NPI number
- 1306653613
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Mathew, Board Member(708) 632-5610
Specialties & taxonomies
Ambulatory Health Care Facilities
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
Other names (DBA / former)
- Doing business as
- Plcca
Registry dates
- Enumerated
- 2024-12-11
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
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 1306653613, 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 Adult Mental Health Clinic/Center (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) 450-3500.
- 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 Jacob Mathew, Board Member. 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 (1306653613) is active in the NPPES registry as of the last update on 2026-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.