1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Clinic Center
  6. NPI Profile

HEALTHY LIFE, LLC
NPI 1770046575
Clinic/Center - Adult Mental Health in Chicago, IL

Active since April 09, 2019
200 W MADISON ST STE 2100, CHICAGO, IL 60606(248) 495-8165(773) 353-1581 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2019, Apr 9, 2019 (2 updates tracked since 2019).

About Healthy Life, Llc NPPES

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

HEALTHY LIFE, LLC (NPI 1770046575) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Chicago and lists Cassandra Kandah, Founder, as its authorized official.

NPPES Registry Identity

NPI1770046575
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameHEALTHY LIFE, LLC
Location Address200 W MADISON ST STE 2100Chicago, IL 60606-3521
Mailing Address2729 N Maplewood AveChicago, IL 60647-1930 · (248) 495-8165
Phone(248) 495-8165
Fax(773) 353-1581
Organization SubpartNo
Authorized OfficialCassandra KandahFounder · (248) 495-8165
Enumeration DateApril 9, 2019
Last NPPES UpdateApril 23, 20192 updates tracked since enumeration
✔ NPI 1770046575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
200 W MADISON ST STE 2100, Chicago, IL 60606
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 N Michigan AveChicago, IL 60611-3777 · Phone (248) 495-8165 · Fax (773) 353-1581

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthy Life, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Healthy Life, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Cassandra Kandah, PHD
Clinical Psychologist
NPI 1386114122
200 W MADISON ST STE 2100
Chicago, IL 60606
(248) 495-8165
✔ PECOS✔ Accepts MedicareSame address
Mary Maraventano Stried
Mental Health Counselor
NPI 1821340613
200 W MADISON ST STE 2100
Chicago, IL 60606
(224) 470-8061
✔ 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 Healthy Life, LLC's NPI number?

The NPI number for Healthy Life, LLC is 1770046575. It was assigned to this organization in the NPPES registry on April 9, 2019.

Where is Healthy Life, LLC located?

Healthy Life, LLC is located at 200 W Madison St Ste 2100, Chicago, IL 60606. The listed phone number is (248) 495-8165.

What is Healthy Life, LLC's specialty?

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

Is Healthy Life, LLC enrolled in Medicare?

Yes. Healthy Life, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy Life, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Healthy Life, LLC, in Clinical Psychologist and Mental Health Counselor. 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, 2 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 Healthy Life, LLC was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.