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PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION, INC.
NPI 1023442753
Clinic/Center - Mental Health (Including Community Mental Health Center) in Maywood, IL

Active since August 29, 2013
411 MADISON W ST, MAYWOOD, IL 60153(708) 450-3500 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2022, May 24, 2022, Jan 27, 2022 and 2 more (5 updates tracked since 2016).

About Proviso Leyden Council For Community Action, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION, INC. (NPI 1023442753) is a healthcare organization registered as a mental health (including community mental health center) in Maywood, Illinois and active in the NPI registry since August 2013. The organization lists Pamela M Yates, Data/billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1023442753
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePLCCA
Location Address411 MADISON W STMaywood, IL 60153-2136
Mailing Address411 Madison W StMaywood, IL 60153-2136
Phone(708) 450-3500
Organization SubpartNo
Authorized OfficialPamela M YatesData/billing Specialist · (708) 450-3500
Enumeration DateAugust 29, 2013
Last NPPES UpdateAugust 5, 20225 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
✔ NPI 1023442753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/CenterTaxonomy 261Q00000X
411 MADISON W ST, Maywood, IL 60153
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Other Names 1

Doing Business AsProviso Leyden Council For Community Action, Inc.

Other Identifiers 1

Medicaid1215987003IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plcca's NPI number?

The NPI number for Plcca is 1023442753. It was assigned to this organization in the NPPES registry on August 29, 2013. The provider is doing business as Proviso Leyden Council For Community Action, Inc..

Where is Plcca located?

Plcca is located at 411 Madison W St, Maywood, IL 60153. The listed phone number is (708) 450-3500.

What is Plcca's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Plcca accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Plcca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plcca was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.