Elizabeth K Haferkamp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.012455 Issued in IL

Practice address

2525 E Oakton St
Arlington Heights, IL 60005-4881

Phone

(847) 956-7912

NPI assigned

Jan 3, 2020

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proactive Behavioral Services, Inc.

  • Clinical Psychologist
  • Inverness, IL
  • NPI 1043437049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1003455312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BROCKWAY ST",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E OAKTON ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054881",
            "telephone_number": "847-956-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFERKAMP",
        "first_name": "ELIZABETH",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.012455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Aaron Guthman, M.D.
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• Hair for You Salon
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• Ellen Louise Hajek, MA CCC-SLP
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• Halinski Podiatrics (Premier Foot & Ankle PC)

• Mental Health Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.