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 is a Mental Health Counselor 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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