OrganizationActive
Michelle a Costello Lcsw, PLLC
NPI 1871256453 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1871256453
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michelle Costello, Registered Agent(312) 593-3553
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
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
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
5215 N Ravenswood Ave Ste 214
Chicago, IL 60640-1670
Phone: (312) 476-9722
Street-level locationGet directions
Mailing address
615 Hinman Ave Apt 3d
Evanston, IL 60202-3047
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-22
- Certified
- 2021-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.