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

Project Vida, Inc

Organization Counselor · NPI 1285167577

Project Vida, Inc is a Counselor in Chicago, Illinois. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
6
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

2659 S Kedvale Ave
Chicago, IL 60623-4322
Phone: (773) 277-2291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Social Worker Taxonomy 104100000X

Record details

NPI number1285167577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Montgomery — Executive Director · (773) 277-2291
NPI enumeratedApril 4, 2017
Last updated in NPPESApril 4, 2017
Mailing address2659 S Kedvale Ave, Chicago, IL 60623-4322

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