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NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
NPI 1316747538
Clinic/Center - Adult Mental Health in Chicago, IL

Active since March 17, 2025
5100 N RAVENSWOOD AVE STE 208, CHICAGO, IL 60640(773) 791-0469 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, May 16, 2025, Mar 21, 2025 (3 updates tracked since 2025).

About Northside Center For Relationship Counseling NPPES

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

NORTHSIDE CENTER FOR RELATIONSHIP COUNSELING (NPI 1316747538) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since March 2025. The organization lists Joshua Smith Hetherington, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316747538
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameNORTHSIDE CENTER FOR RELATIONSHIP COUNSELING
Location Address5100 N RAVENSWOOD AVE STE 208Chicago, IL 60640-1710
Mailing Address5100 N Ravenswood Ave Ste 208Chicago, IL 60640-1710 · (773) 791-0469
Phone(773) 791-0469
Organization SubpartYes
Authorized OfficialJoshua Smith HetheringtonCeo · (773) 791-0469
Enumeration DateMarch 17, 2025
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1316747538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
5100 N RAVENSWOOD AVE STE 208, Chicago, IL 60640
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Other Names 1

Other NameCcrc Behavioral Health Clinic

Other Providers at the Same Location NPPES 4

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

MRS. JUHYUN LEE
Marriage & Family Therapist
5100 N RAVENSWOOD AVE STE 208
CHICAGO, IL 60640
Cook County (773) 830-4199
MS. ANIKO BLAKE LMFT
Marriage & Family Therapist
5100 N RAVENSWOOD AVE STE 208
CHICAGO, IL 60640
Cook County (773) 885-8188
KATHERINE LEATHA HARGADON AMFT
Marriage & Family Therapist
5100 N RAVENSWOOD AVE STE 208
CHICAGO, IL 60640
Cook County (312) 772-5030
LAURA HAGEN LMFT
Marriage & Family Therapist
5100 N RAVENSWOOD AVE STE 208
CHICAGO, IL 60640
Cook County (516) 209-7405

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 Northside Center For Relationship Counseling's NPI number?

The NPI number for Northside Center For Relationship Counseling is 1316747538. It was assigned to this organization in the NPPES registry on March 17, 2025. The provider is also known as CCRC Behavioral Health Clinic.

Where is Northside Center For Relationship Counseling located?

Northside Center For Relationship Counseling is located at 5100 N Ravenswood Ave Ste 208, Chicago, IL 60640. The listed phone number is (773) 791-0469.

What is Northside Center For Relationship Counseling's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Northside Center For Relationship Counseling was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.