OBSIDIAN HOLISTIC SERVICES, LLC
NPI 1801409008
Clinic/Center - Mental Health (Including Community Mental Health Center) in Homewood, IL

Q: What is Obsidian Holistic Services, LLC's NPI number?

The NPI number for Obsidian Holistic Services, LLC is 1801409008. It was assigned to this organization in the NPPES registry on August 26, 2020.

Q: What is Obsidian Holistic Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since August 26, 2020

930 175TH ST STE 1E, HOMEWOOD, IL 60430(708) 462-2134 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 23, 2023, Feb 6, 2023, Aug 26, 2020 (3 updates tracked since 2020).

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About Obsidian Holistic Services, Llc NPPES

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

OBSIDIAN HOLISTIC SERVICES, LLC (NPI 1801409008) is a healthcare organization registered as a mental health (including community mental health center) in Homewood, Illinois and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Harvey and lists Erica Washington, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1801409008

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameOBSIDIAN HOLISTIC SERVICES, LLC

Location Address930 175TH ST STE 1EHomewood, IL 60430-2078

Mailing Address930 175th St Ste 1eHomewood, IL 60430-2078 · (708) 462-2134

Phone(708) 462-2134

Organization SubpartYesParent: Suga Bear Crafting Organization

Authorized OfficialErica WashingtonDirector Of Operations · (708) 462-2134

Enumeration DateAugust 26, 2020

Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1801409008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

930 175TH ST STE 1E, Homewood, IL 60430

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Secondary Practice Location 1

Location 114741 Main StHarvey, IL 60426-1922 · Phone (708) 462-2134

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Obsidian Holistic Services, LLC's NPI number?

The NPI number for Obsidian Holistic Services, LLC is 1801409008. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is Obsidian Holistic Services, LLC located?

Obsidian Holistic Services, LLC is located at 930 175th St Ste 1E, Homewood, IL 60430. The listed phone number is (708) 462-2134.

What is Obsidian Holistic Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Obsidian Holistic Services, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Obsidian Holistic Services, LLC 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 Obsidian Holistic Services, LLC was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.