CENTER FOR ENRICHED LIVING — NPI 1639681653 (Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical in RIVERWOODS, IL)

CMS-1500 Box 24J / 33a • NPI

1639681653

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1041C0700X (CMS 80)

Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical

Box 32 Service Location & ZIP+4

280 SAUNDERS RD., RIVERWOODS, IL, 60015

Official NPPES Practice Location

Practice Phone & Referral Fax

(847) 315-9888

Fax: (847) 948-7621

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1639681653 (CENTER FOR ENRICHED LIVING) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1639681653` (NPI-2 Organization / Facility)
Provider / Legal Name	CENTER FOR ENRICHED LIVING
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: `1041C0700X` (Social Worker, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	280 SAUNDERS RD., RIVERWOODS, IL, 60015
Practice Telephone / Fax	Tel: (847) 315-9888 \| Fax: (847) 948-7621
Administrative Mailing Address	280 SAUNDERS RD., RIVERWOODS, IL, 60015
Enumeration & Last Sync	Enumerated: 2017-10-31 \| CMS Record Updated: 2023-03-30
Authorized Official	EMMA BURTON-LODER (Manager of RVFRC)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

280 SAUNDERS RD., RIVERWOODS, IL, 60015

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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)

What Does Taxonomy Code 1041C0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 80 (Licensed Clinical Social Worker)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CENTER FOR ENRICHED LIVING)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`224ZE0001X` — Occupational Therapy Assistant, Environmental Modification Plain English: Licensed & Credentialed Occupational Therapy Assistant, Environmental Modification	State: N/A \| License: `Verified` \| Primary: Secondary
`224ZF0002X` — Occupational Therapy Assistant, Feeding, Eating & Swallowing Plain English: Licensed & Credentialed Occupational Therapy Assistant, Feeding, Eating & Swallowing	State: N/A \| License: `Verified` \| Primary: Secondary
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CENTER FOR ENRICHED LIVING (NPI #1639681653)