ICG SERVICES, LLC – NPI #1659090827
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Health Care Provider Taxonomy Code for Clinic/Center

ICG SERVICES, LLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1659090827 to ICG SERVICES, LLC on August 23, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health

The NPI profile was last updated on Mar 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ICG SERVICES, LLC below.

NPI Profile for
ICG SERVICES, LLC

NPI Number
1659090827
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ICG SERVICES, LLC
Primary location
8700 S DANTE AVE
CHICAGO, IL 60619-7118
Phone: (773) 347-9075 Fax: (312) 924-0669
1 Other location(s):
2646 Highway Ave
Highland, IN 46322-1661
Phone: (773) 347-9075
Fax: (312) 924-0669
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JASMINE BANKHEAD
CEO
Phone: (773) 606-8002
Updated
Certification Date
Mar 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health (Primary)
261QM0850X
- Clinic/Center / Adult Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
intrinsichomecare.clearcareonline.com
Endpoint type
Other URL
Endpoint Description
Content Type
OTHER
Affiliation
Y
Endpoint Location
5113 S HARPER AVE STE 2C,
CHICAGO, IL 77025-1669