Mind Altering Therapy & Consulting Services LLC
NPI 1669127163 · Professional Counselor · Chicago, IL
Mind Altering Therapy & Consulting Services LLC is a Professional Counselor organization in Chicago, IL (NPI 1669127163).
Provider details
- NPI number
- 1669127163
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Desonta Tillman, Owner(773) 793-4155
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Additional practice locations (1)
- 1233 E 70th StChicago, IL 60637-4708Phone: (773) 793-4155
Registry dates
- Enumerated
- 2022-02-14
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Frequently asked questions
- What is Mind Altering Therapy & Consulting Services LLC's NPI number?
- Mind Altering Therapy & Consulting Services LLC's National Provider Identifier (NPI) is 1669127163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Altering Therapy & Consulting Services LLC?
- Mind Altering Therapy & Consulting Services LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Mind Altering Therapy & Consulting Services LLC located?
- Mind Altering Therapy & Consulting Services LLC's practice location on file with NPPES is 2930 S Michigan Ave, Chicago, IL 60616-3270.
- What is Mind Altering Therapy & Consulting Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Altering Therapy & Consulting Services LLC is (773) 793-4155.
- Who is the authorized official for Mind Altering Therapy & Consulting Services LLC?
- The authorized official listed on Mind Altering Therapy & Consulting Services LLC's NPPES record is Desonta Tillman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Altering Therapy & Consulting Services LLC's NPI active?
- Yes — Mind Altering Therapy & Consulting Services LLC's NPI (1669127163) is active in the NPPES registry as of the last update on 2022-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.