BLYSSS BEHAVIORAL HEALTH, PLLC
NPI 1932945243
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since July 05, 2024
9415 S WESTERN AVE # 206, CHICAGO, IL 60643(708) 941-7448 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2024, Sep 20, 2024, Jul 25, 2024 and 1 more (4 updates tracked since 2024).

About Blysss Behavioral Health, Pllc NPPES

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

BLYSSS BEHAVIORAL HEALTH, PLLC (NPI 1932945243) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since July 2024. The organization lists Cory R Willliams, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1932945243
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLYSSS BEHAVIORAL HEALTH, PLLC
Location Address9415 S WESTERN AVE # 206Chicago, IL 60643-6700
Mailing Address900 W Sunset Dr Apt 613Glenwood, IL 60425-1159 · (844) 425-9777
Organization SubpartNo
Authorized OfficialCory R WillliamsManaging Partner · (844) 425-9777
Enumeration DateJuly 5, 2024
Last NPPES UpdateSeptember 23, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1932945243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
9415 S WESTERN AVE # 206, Chicago, IL 60643

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blysss Behavioral Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Blysss Behavioral Health, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1770125908
9415 S WESTERN AVE # 206
Chicago, IL 60643
(844) 425-9777
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1487392031
900 W SUNSET DR APT 601
Glenwood, IL 60425
(708) 890-4187
✔ PECOS11 mi
Nurse Practitioner
NPI 1598413304
1950 45TH ST STE 100
Munster, IN 46321
(219) 392-7025
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1184487951
4050 HEALTHWAY DR
Aurora, IL 60504
(815) 409-5117
✔ PECOS28 mi
Nurse Practitioner
NPI 1013339498
901 W KIRCHHOFF RD
Arlington Heights, IL 60005
(847) 618-4180
✔ PECOS29 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 Blysss Behavioral Health, PLLC's NPI number?

The NPI number for Blysss Behavioral Health, PLLC is 1932945243. It was assigned to this organization in the NPPES registry on July 5, 2024.

Where is Blysss Behavioral Health, PLLC located?

Blysss Behavioral Health, PLLC is located at 9415 S Western Ave # 206, Chicago, IL 60643. The listed phone number is (708) 941-7448.

What is Blysss Behavioral Health, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blysss Behavioral Health, PLLC enrolled in Medicare?

Yes. Blysss Behavioral Health, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blysss Behavioral Health, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Blysss Behavioral Health, PLLC. 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. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Mental Health Counselor (1). 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 Blysss Behavioral Health, PLLC was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.