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

The Champion Center for Behavioral Therapy Inc

Organization Counselor · NPI 1265890784

The Champion Center for Behavioral Therapy Inc provides Counselor services in Country Club Hills, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
14
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17500 Sycamore Ave
Country Club Hills, IL 60478-4884 Not confirmed with CMS for 10 years — call before visiting
Phone: (312) 536-7779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (IL)
Counselor Taxonomy 101Y00000X (IL)
Psychologist Taxonomy 103T00000X (IL)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Nutritionist Taxonomy 133N00000X
Registered Dietitian Taxonomy 133V00000X
Specialist Taxonomy 174400000X
Health Educator Taxonomy 174H00000X
Developmental Therapist Taxonomy 222Q00000X
Assistive Technology Practitioner Rehabilitation Counselor Taxonomy 225CA2400X
Feeding, Eating & Swallowing Occupational Therapist Taxonomy 225XF0002X
Driving and Community Mobility Occupational Therapist Taxonomy 225XR0403X
Audiologist Taxonomy 231H00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1265890784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latrice Harrell — Executive Director · (312) 536-7779
NPI enumeratedJanuary 29, 2016
Last updated in NPPESJanuary 29, 2016
Mailing address17500 Sycamore Ave, Country Club Hills, IL 60478-4884

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