Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Home Association

Organization Mental Health Counselor · NPI 1316904956

Lydia Home Association provides Mental Health Counselor services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
8
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Practice location Address checks out

4300 W Irving Park Rd #B Counseling Center
Chicago, IL 60641-2825
Phone: (773) 736-1447
Fax: (773) 736-6970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Mental Health Counselor Taxonomy 101YM0800X (IL)
Clinical Psychologist Taxonomy 103TC0700X (IL)
Counseling Psychologist Taxonomy 103TC1900X (IL)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X (IL)
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1316904956
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Anderson — Executive Director · (773) 736-1447
NPI enumeratedApril 27, 2006
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address4300 W Irving Park Rd, Counseling Center, Chicago, IL 60641-2825

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