MRB Counseling, SC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MRB COUNSELING, SC

Practice address

977 Lakeview Pkwy
#155
Vernon Hills, IL 60061-1400

Phone

(847) 918-0129

Fax

(847) 918-0747

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Michael R Bourbon, LCSWNPI 1316012537

Title

President

Phone

(847) 918-0129

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael R Bourbon, LCSW

  • Clinical Social Worker
  • Vernon Hills, IL
  • NPI 1316012537
  Medicare reassignment NPD Authorized official
• Catherine A Corbett, LCSW

  • Clinical Social Worker
  • Vernon Hills, IL
  • NPI 1124196837
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003981192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "address_2": "#155",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "847-918-0129",
            "fax_number": "847-918-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "address_2": "#155",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "847-918-0129",
            "fax_number": "847-918-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRB COUNSELING, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURBON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-918-0129",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1632567",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Morrison, LPC
• Arcia Laray Moss, RSA-C
• John Spencer Mowbray, MHP
• CHI K Moy, D. D. S.
• Tiffany Moy, APRN, CNP
• Brigette Muck, MS, LCPC
• Soma Mukherjee, M.D.
• Elizabeth Mule, RN
• Holly Marie Mulhall
• Bridget Munoz

• Clinical Social Worker in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.