Organization Active NPI

Trace Counseling and Wellness, PLLC

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1043099575
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRACE COUNSELING AND WELLNESS, PLLC
Practice address
3233 N Arlington Heights Rd Ste 203
Arlington Heights, IL 60004-1579
Phone
(224) 388-1867
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Pamela D. Smith, LCPCNPI 1265822639
Title
Owner/Psychotherapist
Phone
(224) 388-1867

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3233 N Arlington Heights Rd Ste 203
Arlington Heights, IL 60004-1579

Mailing address

3233 N Arlington Heights Rd Ste 203
Arlington Heights, IL 60004-1579
Phone (224) 388-1867

Other practice location 1

8 S Michigan Ave
Chicago, IL 60603-3357
Phone (224) 388-1867

National Provider Directory

National Provider Directory

Locations

3233 N Arlington Heights Rd
Ste 203
Arlington Heights, IL 60004
Phone (224) 388-1867

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": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1043099575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD STE 203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041579",
            "telephone_number": "224-388-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 N ARLINGTON HEIGHTS RD STE 203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041579",
            "telephone_number": "224-388-1867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606033357",
            "country_code": "US",
            "telephone_number": "224-388-1867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRACE COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "224-388-1867",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.