SAMARITAN COUNSELING AND CONSULTING SERVICES LLC
NPI 1073187415
Community/Behavioral Health in Chicago, IL

Active since May 19, 2021
111 N WABASH AVE BLDG 1156, CHICAGO, IL 60602(312) 826-9480 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 28, 2022, May 19, 2021 (2 updates tracked since 2021).

  • Organization
  • Community/Behavioral Health

About SAMARITAN COUNSELING AND CONSULTING SERVICES LLC

This page provides the complete NPI Profile along with additional information for Samaritan Counseling And Consulting Services Llc, a provider established in Chicago, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1073187415 assigned on May 2021. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Christina Jackson Phd (Ceo)

NPI
1073187415 Verify this NPI
Provider Name
SAMARITAN COUNSELING AND CONSULTING SERVICES LLC
Entity Type
Organization
Location Address
111 N WABASH AVE BLDG 1156 CHICAGO, IL 60602
Location Phone
(312) 826-9480
Mailing Address
3737 EASTON MARKET # 1071 COLUMBUS, OH 43219
Mailing Phone
(312) 826-9480
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2021
Last Update Date
11-28-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHRISTINA JACKSON PHD

Authorized Official Title
CEO
Authorized Official Phone
(312) 826-9480

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
111 N WABASH AVE BLDG 1156
CHICAGO, IL 60602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073187415, enumerated as an "organization" on May 19, 2021.

The provider is located at 111 N WABASH AVE BLDG 1156 CHICAGO, IL 60602 and the phone number is (312) 826-9480.

Community/Behavioral Health with taxonomy code 251S00000X.