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Organization

Obsidian Holistic Services, LLC

NPI Record: ActiveClinic/Center — Mental Health (Including Community Mental Health Center)
NPI1801409008
Homewood, Illinois

Provider's NPPES record last updated: March 23, 2023

Overview

Entity Type
Organization
NPI
1801409008
Primary Specialty
Clinic/Center — Mental Health (Including Community Mental Health Center)
Practice Location
Homewood, Illinois
Organization Subpart
Yes
Parent Organization
Suga Bear Crafting Organization

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 9:31 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Mental Health (Including Community Mental Health Center)

    Ambulatory Health Care Facilities

    Primary

    Definition to come...

    Taxonomy code 261QM0801X
  • Counselor

    Addiction (Substance Use Disorder)

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YA0400X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X
  • Behavior Analyst

    Behavioral Health & Social Service Providers

    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

    Taxonomy code 103K00000X
  • Social Worker

    Behavioral Health & Social Service Providers

    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

    Taxonomy code 104100000X
  • Social Worker

    Clinical

    Behavioral Health & Social Service Providers

    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

    Taxonomy code 1041C0700X
  • Marriage & Family Therapist

    Behavioral Health & Social Service Providers

    A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

    Taxonomy code 106H00000X
  • Acupuncturist

    Other Service Providers

    An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

    Taxonomy code 171100000X
  • Clinic/Center

    Adult Mental Health

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

    Taxonomy code 261QM0850X
  • Clinic/Center

    Adolescent and Children Mental Health

    Ambulatory Health Care Facilities

    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.

    Taxonomy code 261QM0855X
  • Clinic/Center

    Multi-Specialty

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QM1300X

Practice Locations

Practice Location

930 175th St Ste 1e

Homewood, Illinois 60430-2078

Phone: (708) 462-2134

Additional Practice Location

14741 Main St

Harvey, Illinois 60426-1922

Phone: (708) 462-2134

Record Information

Enumeration Date
August 26, 2020
Provider's NPPES Record Last Updated
March 23, 2023
Certification Date
March 23, 2023
NPISignal NPPES Dataset
August 2026

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