Organization Active NPI

Anne Rossen Integrative Psychotherapy and More, LLC

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1013002401
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180006138 Issued in IL
Legal business name
ANNE ROSSEN INTEGRATIVE PSYCHOTHERAPY AND MORE, LLC
Practice address
5 Revere Dr
Suite 238
Northbrook, IL 60062-1566
Phone
(847) 433-8733
Fax
(847) 433-8734
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Ms. Anne E. Rossen, LCPCNPI 1326266875
Title
Owner/Psychotherapist and Counselor
Phone
(847) 433-8733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180006138 IL Primary

Addresses

Primary practice location

5 Revere Dr
Suite 238
Northbrook, IL 60062-1566

Mailing address

791 Apple Tree LN
Highland Park, IL 60035-1201
Phone (847) 433-8733

Other identifiers 1

IdentifierTypeStateIssuer
04932599OtherILBCBS PROVIDER NUMBER

Other names 1

  • Kaleidoscope LifeWorks, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5 Revere Dr
Ste 238
Northbrook, IL 60062
Phone (847) 433-8733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1013002401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 APPLE TREE LN",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351201",
            "telephone_number": "847-433-8733",
            "fax_number": "847-433-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REVERE DR",
            "address_2": "SUITE 238",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621566",
            "telephone_number": "847-433-8733",
            "fax_number": "847-433-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE ROSSEN INTEGRATIVE PSYCHOTHERAPY AND MORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "ROSSEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST AND COUNSELOR",
        "authorized_official_telephone_number": "847-433-8733",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180006138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "04932599",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaleidoscope LifeWorks, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.