Fandom Behavioral Health Clinic PLLC
NPI 1942913280 · Professional Counselor · Chicago, IL
Fandom Behavioral Health Clinic PLLC is a Professional Counselor organization in Chicago, IL (NPI 1942913280).
Provider details
- NPI number
- 1942913280
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Larry Woods, Professional Counselor(803) 719-3237
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
3 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
Mailing address
Registry dates
- Enumerated
- 2023-01-02
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Frequently asked questions
- What is Fandom Behavioral Health Clinic PLLC's NPI number?
- Fandom Behavioral Health Clinic PLLC's National Provider Identifier (NPI) is 1942913280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fandom Behavioral Health Clinic PLLC?
- Fandom Behavioral Health Clinic PLLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Fandom Behavioral Health Clinic PLLC located?
- Fandom Behavioral Health Clinic PLLC's practice location on file with NPPES is 564 W Randolph St Unit 820, Chicago, IL 60661-2218.
- What is Fandom Behavioral Health Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fandom Behavioral Health Clinic PLLC is (708) 789-5669.
- Who is the authorized official for Fandom Behavioral Health Clinic PLLC?
- The authorized official listed on Fandom Behavioral Health Clinic PLLC's NPPES record is Larry Woods, Professional Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fandom Behavioral Health Clinic PLLC's NPI active?
- Yes — Fandom Behavioral Health Clinic PLLC's NPI (1942913280) is active in the NPPES registry as of the last update on 2023-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.