New Leaf Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

A-6791-0001-A Issued in IL

Legal business name

NEW LEAF COUNSELING LLC

Practice address

1460 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1331

Phone

(847) 391-4180

Fax

(847) 391-4188

NPI assigned

Feb 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Marvin Michael Bornschlegl, LCPC, CADC, CCJPNPI 1932348950

Title

Owner/Counselor

Phone

(847) 391-4180

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Marvin Michael Bornschlegl, LCPC

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1932348950
  NPD (past) Authorized official
• Sandra Agnes Janowski, LCSW, CADC

  • Clinical Social Worker
  • Des Plaines, IL
  • NPI 1407927056
  NPD (past)

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

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234569600000",
    "number": "1023257045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 RENAISSANCE DR",
            "address_2": "SUITE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681331",
            "telephone_number": "847-391-4180",
            "fax_number": "847-391-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RENAISSANCE DR",
            "address_2": "SUITE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681331",
            "telephone_number": "847-391-4180",
            "fax_number": "847-391-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-14",
        "last_updated": "2009-02-14",
        "status": "A",
        "authorized_official_last_name": "BORNSCHLEGL",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "847-391-4180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC, CADC, CCJP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "A-6791-0001-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn Roggatz Ness, M.S., M.A.
• Nesset Pavilion Pharmacy
• Stephen Mark Neuberger, MD
• Alyssa Neuman, OTR/L
• Caitlyn Theresa Neville
• Anna Newman, M.S. CCCSLP
• Samantha Newman, LPC, NCC
• Julie Ngauv
• Brittany Nguyen, AU.D.
• Eleanor Traci Nguyen, MD

• Community/Behavioral Health Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2009; 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.