CHINESE AMERICAN SERVICE LEAGUE, INC.
NPI 1649980947
Clinic/Center - Adult Mental Health in Chicago, IL

Active since November 29, 2022
2141 S TAN CT, CHICAGO, IL 60616(312) 808-0280 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2026, Apr 2, 2024, Feb 7, 2024 and 3 more (6 updates tracked since 2022).

About Chinese American Service League, Inc. NPPES

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

CHINESE AMERICAN SERVICE LEAGUE, INC. (NPI 1649980947) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since November 2022. The organization lists Jered G Pruitt, Coo, as its authorized official.

NPPES Registry Identity

NPI1649980947
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCHINESE AMERICAN SERVICE LEAGUE, INC.
Location Address2141 S TAN CTChicago, IL 60616-1998
Mailing Address2141 S Tan CtChicago, IL 60616-1998 · (312) 808-0280
Organization SubpartNo
Authorized OfficialJered G PruittCoo · (312) 328-6606
Enumeration DateNovember 29, 2022
Last NPPES UpdateJune 1, 20266 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1649980947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ 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 ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedHomemakerTaxonomy 376J00000X
2141 S TAN CT, Chicago, IL 60616

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chinese American Service League, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Chinese American Service League, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1558135004
2141 S TAN CT
Chicago, IL 60616
(312) 791-0418
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1790431153
2141 S TAN CT
Chicago, IL 60616
(312) 791-0418
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1417770132
2141 S TAN CT
Chicago, IL 60616
(312) 791-0418
✔ PECOSSame 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 Chinese American Service League, Inc.'s NPI number?

The NPI number for Chinese American Service League, Inc. is 1649980947. It was assigned to this organization in the NPPES registry on November 29, 2022.

Where is Chinese American Service League, Inc. located?

Chinese American Service League, Inc. is located at 2141 S Tan Ct, Chicago, IL 60616. The listed phone number is (312) 808-0280.

What is Chinese American Service League, Inc.'s specialty?

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

Is Chinese American Service League, Inc. enrolled in Medicare?

Yes. Chinese American Service League, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chinese American Service League, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Chinese American Service League, Inc., in Clinical Social Worker and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chinese American Service League, Inc. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Chinese American Service League, Inc. 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 Chinese American Service League, Inc. was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.