COMMUNITY COUNSELING CENTERS OF CHICAGO
NPI 1083634901
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Q: What is Community Counseling Centers Of Chicago'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.

Active since July 21, 2006

4740 N CLARK ST, CHICAGO, IL 60640(773) 769-0205(773) 765-0801 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Community Counseling Centers Of Chicago NPPES

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

COMMUNITY COUNSELING CENTERS OF CHICAGO (NPI 1083634901) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since July 2006. The organization lists Anthony A Kopera, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1083634901

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCOMMUNITY COUNSELING CENTERS OF CHICAGO

Location Address4740 N CLARK STChicago, IL 60640-4689

Mailing Address4740 N. Clark St.Chicago, IL 60640 · (773) 769-0205 · Fax (773) 765-0801

Phone(773) 769-0205

Fax(773) 765-0801

Organization SubpartNo

Authorized OfficialAnthony A KoperaPresident & Chief Executive Officer · (773) 769-0205

Enumeration DateJuly 21, 2006

Last NPPES UpdateApril 20, 2008

✔ NPI 1083634901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in IL · 04029

4740 N CLARK ST, Chicago, IL 60640

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Other Identifiers 3

Other1616824IL · Blue Cross Blue Shield

Medicare PIN322860

Medicaid=========002IL

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Community Counseling Centers Of Chicago is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Counseling Centers Of Chicago, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tarik Qazzaz, LCSW

Clinical Social Worker

NPI 1598014797

4740 N CLARK ST
Chicago, IL 60640

(773) 769-0205

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Community Counseling Centers Of Chicago's NPI number?

The NPI number for Community Counseling Centers Of Chicago is 1083634901. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Community Counseling Centers Of Chicago located?

Community Counseling Centers Of Chicago is located at 4740 N Clark St, Chicago, IL 60640. The listed phone number is (773) 769-0205.

What is Community Counseling Centers Of Chicago'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.

Is Community Counseling Centers Of Chicago enrolled in Medicare?

Yes. Community Counseling Centers Of Chicago is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Counseling Centers Of Chicago?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Community Counseling Centers Of Chicago. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Community Counseling Centers Of Chicago accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Community Counseling Centers Of Chicago 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 Community Counseling Centers Of Chicago was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.