AUNT MARTHA'S YOUTH SERVICE CENTER — NPI 1720258619 (Licensed & Credentialed Community/Behavioral Health in OAK FOREST, IL)

CMS-1500 Box 24J / 33a • NPI

1720258619

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251S00000X

Licensed & Credentialed Community/Behavioral Health

Box 32 Service Location & ZIP+4

15020 CICERO AVE, SUITE D, OAK FOREST, IL, 60452-1441

✓ 9-Digit EDI 837 ZIP+4 (60452-1441)

Practice Phone & Referral Fax

(708) 535-2934

Fax: (708) 535-0851

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720258619 (AUNT MARTHA'S YOUTH SERVICE CENTER) 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	`1720258619` (NPI-2 Organization / Facility)
Provider / Legal Name	AUNT MARTHA'S YOUTH SERVICE CENTER
Plain-English Specialty	Licensed & Credentialed Community/Behavioral Health NUCC Code: `251S00000X` (Community/Behavioral Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	15020 CICERO AVE, SUITE D, OAK FOREST, IL, 60452-1441
Practice Telephone / Fax	Tel: (708) 535-2934 \| Fax: (708) 535-0851
Administrative Mailing Address	19990 GOVERNORS HWY, OLYMPIA FIELDS, IL, 60461-1021
Enumeration & Last Sync	Enumerated: 2008-03-06 \| CMS Record Updated: 2010-12-02
Authorized Official	CHRISTOPHER NORDLOH (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

15020 CICERO AVE, SUITE D, OAK FOREST, IL, 60452-1441

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Plain-English Taxonomy & CMS Crosswalk (251S00000X)

What Does Taxonomy Code 251S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251S00000X translates to:
"Licensed & Credentialed Community/Behavioral Health"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community/Behavioral Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AUNT MARTHA'S YOUTH SERVICE CENTER)

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
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AUNT MARTHA'S YOUTH SERVICE CENTER (NPI #1720258619)