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AUTUMN HEALTHCARE OF ILLINOIS
NPI 1679628705
Counselor - Mental Health in Chicago, IL

Active since January 25, 2007
4505 S DREXEL BLVD, CHICAGO, IL 60653(773) 285-0550 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Autumn Healthcare Of Illinois NPPES

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

AUTUMN HEALTHCARE OF ILLINOIS (NPI 1679628705) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since January 2007. The organization lists Pamela Ann Brazelton-sykes, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679628705
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAUTUMN HEALTHCARE OF ILLINOIS
Location Address4505 S DREXEL BLVDChicago, IL 60653-4301
Mailing Address9449 S Kedzie Ave, Ste142Evergreen Park, IL 60805-2325 · (773) 420-3481 · Fax (773) 420-3597
Phone(773) 285-0550
Organization SubpartNo
Authorized OfficialPamela Ann Brazelton-sykesExecutive Director · (773) 420-3481
Enumeration DateJanuary 25, 2007
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1679628705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4505 S DREXEL BLVD, Chicago, IL 60653
Open in Google Maps ↗

Other Identifiers 2

Other1487709697IL · Npi
Other207655IL · No Title

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Healthcare Of Illinois 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 Autumn Healthcare Of Illinois, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Lisa Lindsey Robinson, LCSW
Clinical Social Worker
NPI 1336529866
9449 S KEDZIE AVE STE 142
Evergreen Park, IL 60805
(773) 420-3481
✔ PECOS8.1 mi
Annie Hudson, L.C.S.W.
Clinical Social Worker
NPI 1710185764
960 RAND RD SUITE 215
Des Plaines, IL 60016
(847) 699-2100
✔ PECOS✔ Accepts Medicare23 mi
Steven Hurley, PSY.D.
Clinical Psychologist
NPI 1548339955
1800 HOLLISTER DR
Libertyville, IL 60048
(847) 636-3610
✔ PECOS35 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 Autumn Healthcare Of Illinois's NPI number?

The NPI number for Autumn Healthcare Of Illinois is 1679628705. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Autumn Healthcare Of Illinois located?

Autumn Healthcare Of Illinois is located at 4505 S Drexel Blvd, Chicago, IL 60653. The listed phone number is (773) 285-0550.

What is Autumn Healthcare Of Illinois's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Autumn Healthcare Of Illinois enrolled in Medicare?

Yes. Autumn Healthcare Of Illinois is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Autumn Healthcare Of Illinois?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Autumn Healthcare Of Illinois, in Clinical Psychologist and Clinical Social Worker. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Autumn Healthcare Of Illinois was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.