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YOUTH OUTREACH SERVICES
NPI 1023562303
Community/Behavioral Health in Chicago, IL

Active since August 04, 2016CLIA 14D2086498 · Waiver
5910 W DIVISION ST, YOUTH OUTREACH SERVICES, CHICAGO, IL 60651(773) 777-7112(773) 887-3300 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Youth Outreach Services NPPES

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

YOUTH OUTREACH SERVICES (NPI 1023562303) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Jamie Noto, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023562303
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameYOUTH OUTREACH SERVICES
Location Address5910 W DIVISION ST, YOUTH OUTREACH SERVICESChicago, IL 60651-1031
Mailing Address2411 W Congress Pkwy, Youth Outreach ServicesChicago, IL 60612-3534 · (773) 777-7112 · Fax (773) 777-7611
Phone(773) 777-7112
Fax(773) 887-3300
Organization SubpartYes
Authorized OfficialJamie NotoExecutive Director · (773) 205-0474
Enumeration DateAugust 4, 2016
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
✔ NPI 1023562303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IL · A-0534-0007-A
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5910 W DIVISION ST, Chicago, IL 60651
Open in Google Maps ↗

Other Identifiers 1

Medicaid2B05-IPI-144IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2086498

Youth Outreach Services · Chicago, IL
Active · expires Nov 4, 2026
CLIA Number14D2086498
Laboratory TypeOutpt Substance Abuse Trm
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorRick Velasquez
Laboratory Phone(773) 777-7112
Laboratory LocationYouth Outreach Services6417 W Irving Park Rd, Chicago, IL 60634
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHENECA CURTIS MA COUNSELING
Counselor (Addiction (Substance Use Disorder))
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 885-3091
JESSICA CHANDLER
Counselor (Addiction (Substance Use Disorder))
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 777-7112
JASMINE GERVAIZ GADDY
Counselor (Mental Health)
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 777-7112
LLYSA LIBREA MSW
Social Worker
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 777-7112
YESENIA GARCIA B.A.
Counselor
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 777-7112
TIESHA LIGGINS MA
Counselor
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 777-7125
TYRONE ANDERSON
Counselor (Addiction (Substance Use Disorder))
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 777-7112
SANDRA BRUDENT
Counselor (Addiction (Substance Use Disorder))
5910 W DIVISION ST
CHICAGO, IL 60651
Cook County (773) 777-7112

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 Youth Outreach Services's NPI number?

The NPI number for Youth Outreach Services is 1023562303. It was assigned to this organization in the NPPES registry on August 4, 2016.

Where is Youth Outreach Services located?

Youth Outreach Services is located at 5910 W Division St Youth Outreach Services, Chicago, IL 60651. The listed phone number is (773) 777-7112.

What is Youth Outreach Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Youth Outreach Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2086498) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Youth Outreach Services was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.