OrganizationActive
Mindful Behavior LLC
NPI 1558065300 · Counseling Psychologist · Chicago, IL
Provider details
- NPI number
- 1558065300
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elisa Lee, Owner(708) 304-3010
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
6815 W 63rd St
Chicago, IL 60638-4048
Phone: (708) 304-3010
Fax: (708) 535-5333
Street-level locationGet directions
Mailing address
Po Box 388556
Chicago, IL 60638-8556
Additional practice locations (3)
- 3245 Grove Ave Ste 208Berwyn, IL 60402-3476Phone: (708) 304-3010Fax: (708) 535-5333
- 8 S Michigan Ave Ste 612Chicago, IL 60603-3488Phone: (708) 304-3010Fax: (708) 535-5333
- 137 N Oak Park Ave Ste 212Oak Park, IL 60301-1340Phone: (708) 304-3010Fax: (708) 304-3010
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.