IMAGINE THERAPY MINDFULNESS HEALING PLLC
NPI 1669144218
Clinic/Center in Chicago, IL

Active since October 01, 2021
708 W GRAND AVE, CHICAGO, IL 60654(312) 300-2190 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Imagine Therapy Mindfulness Healing Pllc NPPES

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

IMAGINE THERAPY MINDFULNESS HEALING PLLC (NPI 1669144218) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since October 2021. The organization lists Chrissa Flannery, Manager, as its authorized official.

NPPES Registry Identity

NPI1669144218
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameIMAGINE THERAPY MINDFULNESS HEALING PLLC
Location Address708 W GRAND AVEChicago, IL 60654
Mailing Address708 W Grand AveChicago, IL 60654 · (312) 300-2190
Organization SubpartNo
Authorized OfficialChrissa FlanneryManager · (708) 337-0642
Enumeration DateOctober 1, 2021
NPPES CertifiedSeptember 15, 2021
✔ NPI 1669144218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
708 W GRAND AVE, Chicago, IL 60654

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imagine Therapy Mindfulness Healing Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20211028000117Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Imagine Therapy Mindfulness Healing PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Hospice/Palliative Care
NPI 1487825618
708 W GRAND AVE
Chicago, IL 60654
(312) 300-2190
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1245496819
2650 RIDGE AVE
Evanston, IL 60201
(847) 570-2114
✔ PECOS✔ Accepts Medicare12 mi
Psychiatry
NPI 1235592494
11925 S HARLEM AVE
Palos Heights, IL 60463
(708) 776-9710
✔ PECOS✔ Accepts Medicare17 mi

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 Imagine Therapy Mindfulness Healing PLLC's NPI number?

The NPI number for Imagine Therapy Mindfulness Healing PLLC is 1669144218. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Imagine Therapy Mindfulness Healing PLLC located?

Imagine Therapy Mindfulness Healing PLLC is located at 708 W Grand Ave, Chicago, IL 60654. The listed phone number is (312) 300-2190.

What is Imagine Therapy Mindfulness Healing PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Imagine Therapy Mindfulness Healing PLLC enrolled in Medicare?

Yes. Imagine Therapy Mindfulness Healing PLLC is registered in the Medicare PECOS enrollment system.

When is Imagine Therapy Mindfulness Healing PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Imagine Therapy Mindfulness Healing PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Imagine Therapy Mindfulness Healing PLLC, in Hospice/Palliative Care and Psychiatry. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Imagine Therapy Mindfulness Healing PLLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.